DAMIEN HUCKLEBERRY


Address: 1000 Blythe Blvd, Charlotte, NC 28203-5812
Phone: 7044469703

DAMIEN HUCKLEBERRY (NPI# 1427472992) 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) 1427472992
Entity Type Individual
Full Name DAMIEN HUCKLEBERRY
Credential CSFA
Practice Address 1000 Blythe Blvd
Charlotte
NC 28203-5812
Mailing Address 8910 Overlay Ct
Charlotte
NC 28216-7902
Practice Telephone 7044469703
Enumeration Date 2014-02-04
Last Update Date 2014-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1000 BLYTHE BLVD
City CHARLOTTE
State NC
Zip Code 28203-5812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740282946 Shoaib Lateef Hospitalist 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 2005-06-01
1588264527 Elizabeth Lopez Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-29
1164021648 Daniel Alan Nichols Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-26
1487267878 Anna Molengraft Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-26
1699388116 Cassandra L. Barnes Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1407469927 Lesley Rummage Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1104437326 Nicole Clarke Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-11
1942819594 Nigella Siegl Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-29
1316556319 Carly E Janusek Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-26
1932717212 Lauren May Vanderlip Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982225983 William Bedard Michel Emergency Medicine Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 2020-04-30
1922636927 Paulina M Kriska Dentist Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 2020-03-27
1386271930 Irina Maria Geiculescu Pediatrics 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 2020-03-24
1205499316 James C Winnek Counselor 1713 East Blvd., Charlotte, NC 28203 2019-04-16
1487114492 Laurie Fford Counseling and Consulting Pllc Counselor 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 2019-03-25
1184188815 Sunday Money Home Health 2151 Hawkins St., Suite 201, Charlotte, NC 28203 2019-01-28
1164902706 Lindsay Koonce Helton Dietitian, Registered 1218 East Blvd Ste G, Charlotte, NC 28203 2018-08-14
1376057406 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 2017-11-28
1043733306 Kimberly Stripp Pharmacist 1300-b East Blvd, Charlotte, NC 28203 2017-07-19
1427570639 Caroline Kaleel Fogleman Optometrist 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 2017-07-10
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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
1205258092 Jerry L. Marsh Specialist/Technologist, Other 9926 Orchard Grass Ct, Charlotte, NC 28278-7849 2014-01-13
1043508229 John Creekmore Specialist/Technologist, Other 8000 Waterford Tide Loop, #2931, Charlotte, NC 28226 2011-07-21
1285809566 Laura Hope Babec Specialist/Technologist, Other 309 S. Sharon Amity Rd, Charlotte, NC 28211 2008-04-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932670569 Alfredo Benarroch Specialist/Technologist, Other 6809 Jacobs Creek Cir, Fayetteville, NC 28306-4562 2018-12-07
1053658302 James William Boyer Specialist/Technologist, Other 1768 Hwy 210, Hampstead, NC 28443 2013-01-07
1295003572 Andre Scott Canipe Specialist/Technologist, Other 1829 E Marion St, Apt. 809, Shelby, NC 28152-6264 2011-12-01
1134394349 Nathan Henry Adams Specialist/Technologist, Other 1217 Upper Brush Creek Rd, Fairview, NC 28730-9208 2008-04-29
1407025331 Brian W Owens Specialist/Technologist, Other 540 Rockbridge Dr, Kernersville, NC 27284-6844 2008-02-25
1881202901 Chantel Davis Specialist/Technologist, Other 1638 Owen Dr, Fayetteville, NC 28304-3424 2020-07-15
1154949428 Jerri Lynn Reed Specialist/Technologist, Other 500 Lauchwood Dr, Laurinburg, NC 28352-5501 2020-07-13
1447878178 Tonya Lakeshia Washington Specialist/Technologist, Other 1638 Owen Dr, Fayetteville, NC 28304-3424 2020-07-09
1124338991 Annie A Rice Specialist/Technologist, Other 100 Victoria Rd, Asheville, NC 28801-4812 2010-10-14

Competitor

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City CHARLOTTE
Zip Code 28203

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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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