JORGE CARLOS LUEGE HERMOSILLA (NPI# 1023508389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023508389 |
| Entity Type | Individual |
| Full Name | JORGE CARLOS LUEGE HERMOSILLA |
| Credential | SA-C |
| Practice Address |
7050 Terra Chase Cv Apt 121 Fort Worth TX 76137-6595 |
| Practice Telephone | 7867158730 |
| Mailing Telephone | 7867158730 |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2018-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
18-223 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
7050 TERRA CHASE CV APT 121 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-6595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831655539 | J Santana Inc | Specialist/Technologist, Other | 5600 Mount Storm Way, Fort Worth, TX 76179-4437 | 2019-02-18 |
| 1235695040 | Elite Professional Associates LLC | Specialist/Technologist, Other | 5128 Bayridge Ct., Fort Worth, TX 76179-4255 | 2019-02-17 |
| 1528547270 | Holly Hong Nguyen | Specialist/Technologist, Other | 1424 Soaptree Ln, Fort Worth, TX 76177-7227 | 2018-08-13 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1689189870 | Alexis Re Anello | Specialist/Technologist, Other | 4875 Kennedale New Hope Rd, Fort Worth, TX 76140-7813 | 2017-12-09 |
| 1992253306 | Jason Bowers | Specialist/Technologist, Other | 5316 Quail Feather Dr, Fort Worth, TX 76123 | 2016-09-14 |
| 1245686518 | Jakob A Devore | Specialist/Technologist, Other | 5309 Corn Field Dr, Fort Worth, TX 76179-8163 | 2016-05-05 |
| 1497139489 | Steven Cathcart | Specialist/Technologist, Other | 9440 Shields St, Fort Worth, TX 76244-6031 | 2015-07-20 |
| 1093194979 | Nodens,llc | Specialist/Technologist, Other | 4132 Heirship Ct, Fort Worth, TX 76244-4966 | 2015-05-25 |
| 1619371945 | Amos Brito | Specialist/Technologist, Other | 5128 Bayridge Ct, Fort Worth, TX 76179-4255 | 2014-10-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
Please comment or provide details below to improve the information on JORGE CARLOS LUEGE HERMOSILLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.