TEENA RAE LUTZ (NPI# 1184916058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184916058 |
Entity Type | Individual |
Full Name | TEENA RAE LUTZ |
Credential | CST |
Practice Address |
200 Theda Clark Medical Plz Suite 130 Neenah WI 54956-2721 |
Practice Telephone | 9207297105 |
Practice Fax Number | 9207202151 |
Mailing Telephone | 9207297105 |
Mailing Fax Number | 9207202151 |
Enumeration Date | 2011-05-10 |
Last Update Date | 2011-05-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
200 THEDA CLARK MEDICAL PLZ SUITE 130 |
City | NEENAH |
State | WI |
Zip Code | 54956-2721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992700918 | Marley L. Kercher | Obstetrics & Gynecology | 200 Theda Clark Medical Plz, Ste 130, Neenah, WI 54956-2790 | 2005-06-16 |
1427665504 | Hillary Rollins | Nurse Anesthetist, Certified Registered | 200 Theda Clark Medical Plz, Neenah, WI 54956-2721 | 2020-09-23 |
1417346149 | Kristy Hager | Registered Nurse | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2721 | 2015-01-19 |
1801177035 | Community Memorial Hospital, Incorporated | Surgery | 200 Theda Clark Medical Plz, Suite 210, Neenah, WI 54956-2721 | 2011-09-01 |
1043503360 | Angela F Behm | Specialist/Technologist, Other | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2721 | 2011-05-19 |
1255565701 | Maria Kristin Vandenberg | Obstetrics & Gynecology | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2721 | 2009-05-13 |
1124217963 | Jill Elizabeth Ziolkowski | Registered Nurse | 200 Theda Clark Medical Plz, Ste 350, Neenah, WI 54956-2721 | 2007-10-17 |
1518162247 | Benjamin John Ernst | Ophthalmology | 200 Theda Clark Medical Plz, Suite 110, Neenah, WI 54956-2721 | 2007-06-21 |
1679602510 | Tina S Ramsey | Obstetrics & Gynecology | 200 Theda Clark Medical Plz, Suite 270, Neenah, WI 54956-2721 | 2007-03-05 |
1922166511 | Robert A Nonn | Internal Medicine | 200 Theda Clark Medical Plz, Suite 480, Neenah, WI 54956-2721 | 2006-12-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
Find all providers in zip 54956 |
Taxonomy Code | 246ZS0410X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Technologist |
Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043503360 | Angela F Behm | Specialist/Technologist, Other | 200 Theda Clark Medical Plz, Suite 130, Neenah, WI 54956-2721 | 2011-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447731161 | Shannon Lori Marohl | Specialist/Technologist, Other | 1818 N Meade St # 240, Appleton, WI 54911-3454 | 2018-08-22 |
1780178137 | Dana Schmidt | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2018-06-19 |
1679950315 | Donnie Henderson | Specialist/Technologist, Other | 733 Copernicus Way, Madison, WI 53718-3098 | 2015-05-01 |
1922349935 | Rebecca Joan Kiekhoefer | Specialist/Technologist, Other | 416 S Lincoln Dr, Howards Grove, WI 53083-1243 | 2013-03-15 |
1952648222 | Kh Surgical Assisting, LLC | Specialist/Technologist, Other | N115w20014 N Woodland Dr., Germantown, WI 53022-2926 | 2013-01-07 |
1184983421 | Conrad Christopher Botz II | Specialist/Technologist, Other | 1357 Pheasant Run, New Richmond, WI 54017-4501 | 2012-05-07 |
1952625642 | Mary B. Luberda | Specialist/Technologist, Other | 143 Acreview Dr, De Pere, WI 54115-3655 | 2010-03-24 |
1457504110 | Jason D. Schillinger | Specialist/Technologist, Other | 5200 Humingbird Road, Suite 100, Wausau, WI 54401 | 2008-10-28 |
1558344663 | Rhonda Catherine Mayne | Specialist/Technologist, Other | 833 S Iowa St, Suite 104, Dodgeville, WI 53533-1900 | 2005-11-22 |
1093370363 | Janene M Ray | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2019-05-02 |
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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.