Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Surgical Assist, Inc

Organization Surgery Physician · NPI 1538781703

Premier Surgical Assist, Inc is a Surgery Physician in South Charleston, West Virginia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone: (304) 389-7914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1306 Kanawha Blvd E, Charleston, WV 25301-3001 — (304) 389-7914

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1538781703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geno Santangelo — Co-Owner · (304) 389-7914
NPI enumeratedMay 11, 2020
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020
Mailing address11157 Charleston Rd, Red House, WV 25168-7505

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