JAKOB A DEVORE (NPI# 1245686518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245686518 |
Entity Type | Individual |
Full Name | JAKOB A DEVORE |
Other Name | JAKE A DEVORE |
Credential | LSA |
Practice Address |
5309 Corn Field Dr Fort Worth TX 76179-8163 |
Practice Telephone | 2142272457 |
Practice Fax Number | 2147640880 |
Mailing Telephone | 2142272457 |
Mailing Fax Number | 2147640880 |
Enumeration Date | 2016-05-05 |
Last Update Date | 2020-09-10 |
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 |
SA00729 | TX | Technologists, Technicians & Other Technical Service Providers |
N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
142172 | KS | Technologists, Technicians & Other Technical Service Providers |
Street Address |
5309 CORN FIELD DR |
City | FORT WORTH |
State | TX |
Zip Code | 76179-8163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912400565 | Cutting Edge First Assist, Inc | Nursing Care | 5309 Corn Field Dr, Fort Worth, TX 76179-8163 | 2018-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
1376062026 | Michele Ann Taylor | Massage Therapist | 6352 Stone Lake Drive, Fort Worth, TX 76179 | 2017-09-13 |
1649796921 | Amanda Williams | Music Therapist | 6212 Rocky Point Trail, Lake Worth, TX 76179 | 2017-08-17 |
1912437922 | Dentists of Eagle Mountain, PC | Dentist | 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 | 2017-06-13 |
1982059283 | 11th Hour Counseling | Social Worker | 949 Sherry Ln, Saginaw, TX 76179 | 2016-04-25 |
1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
Find all providers in zip 76179 |
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 |
1023508389 | Jorge Carlos Luege Hermosilla | Specialist/Technologist, Other | 7050 Terra Chase Cv Apt 121, Fort Worth, TX 76137-6595 | 2018-05-12 |
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 |
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 | 76179 |
Please comment or provide details below to improve the information on JAKOB A DEVORE.
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.