Prime Surgical Assisting, LLC
NPI 1528013364ActiveOrganization· Physician Assistant, Surgical· Chandler, AZ
Physician Assistant, Surgical in Chandler, Arizona, registered in NPPES in May 2006. The authorized official on file is Gary Trent Fullmer, PA-C, Owner.
Overview
| NPI | 1528013364 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | Mar 27, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | P-1257205-6 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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