JAKOB A DEVORE


Address: 5309 Corn Field Dr, Fort Worth, TX 76179-8163
Phone: 2142272457

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 5309 CORN FIELD DR
City FORT WORTH
State TX
Zip Code 76179-8163

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City FORT WORTH
Zip Code 76179

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Dataset Information

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.

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