FAST SURGICAL SERVICES (NPI# 1093190837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093190837 |
| Entity Type | Organization |
| Organization Name | FAST SURGICAL SERVICES |
| Practice Address |
201 Hospital Rd Canton GA 30114-2408 |
| Mailing Address |
Po Box 1186 Ball Ground GA 30107-1102 |
| Practice Telephone | 7707205100 |
| Mailing Telephone | 7704801311 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | TRACY C ECHUCK (PRESIDENT) |
| Authorized Official Telephone | 7704801311 |
| Authorized Official Credential | CSFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
151286 | GA | Technologists, Technicians & Other Technical Service Providers |
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
153136 | GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
201 HOSPITAL RD |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959420 | Patricia Leigh Carver | Pharmacist | 201 Hospital Rd, Northside Hospital Cherokee Pharmace, Canton, GA 30114-2408 | 2005-08-10 |
| 1083152391 | Karen Jenkins | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2017-02-07 |
| 1609319375 | Kirk Braun | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-29 |
| 1104368158 | Giang Nguyen | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-08 |
| 1679015804 | Elmira Mcwilliams | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-04 |
| 1033661269 | Jennifer Bacchus | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-04 |
| 1750833109 | Susan Michele Gramling | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-02 |
| 1194277442 | Cynthia Paige Hemphill | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-02 |
| 1487106878 | Candance Niccole Rhodes | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-01 |
| 1942751151 | Northside Hospital Cherokee | General Acute Care Hospital | 201 Hospital Rd, Pharmacy Department, Canton, GA 30114-2408 | 2016-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1568085157 | Ross W Devantier | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-19 |
| 1427679034 | Joseph Liverman | Specialist/Technologist, Other | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-05-05 |
| 1851864540 | Daniel Hill | Specialist/Technologist, Other | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818422 | Lisa M Arey | Specialist/Technologist, Other | 2429 Salem Ct Sw, Marietta, GA 30064-4259 | 2020-07-21 |
| 1457972309 | Shanon Marie Roderick | Specialist/Technologist, Other | 115 Bradford Ct, Savannah, GA 31406-4122 | 2020-05-01 |
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
| 1003448911 | Kirstin Gabler | Specialist/Technologist, Other | 2119 Wilshire Dr Sw, Marietta, GA 30064-4197 | 2020-02-08 |
| 1982244257 | Chad Seawright | Specialist/Technologist, Other | 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887 | 2020-01-14 |
| 1952948945 | Haley Johnson | Specialist/Technologist, Other | 619 Minter Rd, Griffin, GA 30223-5635 | 2019-12-09 |
| 1215579982 | Anfernee Jerome Walker | Specialist/Technologist, Other | 990 Thousand Oaks Dr, Lawrenceville, GA 30043-3123 | 2019-10-14 |
| 1043852197 | James Hoffman | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2019-10-10 |
| 1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
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| 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.