MR. LAWRENCE BOONE (NPI# 1427679778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427679778 |
| Entity Type | Individual |
| Full Name | MR. LAWRENCE BOONE |
| Credential | CSA |
| Practice Address |
1401 N 10th Ave Stayton OR 97383-1311 |
| Mailing Address |
2844 Hoover Ave Nw Salem OR 97304-3789 |
| Practice Telephone | 5037699314 |
| Mailing Telephone | 4107332209 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| 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 |
1315 | AZ | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1401 N 10TH AVE |
| City | STAYTON |
| State | OR |
| Zip Code | 97383-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154302214 | Santiam Memorial Hospital | General Acute Care Hospital | 1401 N 10th Ave, Stayton, OR 97383-1485 | 2005-11-07 |
| 1447883921 | Jeremy Keith Walker | Respiratory Therapist, Registered | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2020-02-13 |
| 1043861123 | Mary Margaret Gescher | Pharmacist | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2019-09-20 |
| 1851941058 | Chanelle Maldonado | Pharmacist | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2019-09-19 |
| 1932759206 | Joni Clancy | Pharmacist | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2019-09-18 |
| 1548739725 | Tammy Lynette Abell | Registered Nurse | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2018-11-17 |
| 1982154712 | Santiam Memorial Hospital | General Acute Care Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-10-05 |
| 1659720720 | Donald Raymond Turrell | Registered Nurse | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-06-08 |
| 1235587668 | Jamie Elizabeth Robinson | Family Medicine | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2016-05-26 |
| 1477909570 | Santiam Memorial Hospital | Clinic/Center | 1401 N 10th Ave, Ste. 100, Stayton, OR 97383-1486 | 2016-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487204228 | Bishop Stayton Lessee LLC | Assisted Living Facility | Elmcroft of Stayton, 2201 3rd Ave., Stayton, OR 97383 | 2019-09-13 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1801211560 | Maria A Fife | Nurse Practitioner | 1095 N 1st Ave, Stayton, OR 97383 | 2014-03-04 |
| 1467771295 | Jennifer Clorinda Brewer | Obstetrics & Gynecology | 1373 N. 10th Ave, Stayton, OR 97383 | 2010-05-18 |
| 1578785622 | Lakeside Cottages | Assisted Living Facility | #310-369 Wildflower Drive, Stayton, OR 97383 | 2007-05-02 |
| 1215099627 | Ritchie B Gooch | Family Medicine | 1377 N 10th Avenue, Stayton, OR 97383 | 2006-12-14 |
| 1710932710 | Promotion Advanced Functional Rehab LLC | Physical Therapy Assistant | 601 N 1st Ave, Stayton, OR 97383 | 2006-05-24 |
| 1508352279 | Madison Taylor Eymann | Physical Therapist | 1750 Wilco Rd, Stayton, OR 97383 | 2018-07-06 |
| 1154814390 | Santiam Memorial Hospital | Clinic/Center | 1371 N 10th Ave, Stayton, OR 97383 | 2018-06-12 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| Find all providers in zip 97383 | ||||
| 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 |
|---|---|---|---|---|
| 1982224325 | Shon Patrick Hueth | Specialist/Technologist, Other | 6796 Ivy St, Springfield, OR 97478-7355 | 2020-04-24 |
| 1962022566 | Tl Surgical Assistants | Specialist/Technologist, Other | 13720 Sw 24th St, Beaverton, OR 97008-5055 | 2020-04-23 |
| 1427696244 | Colleen Marie Pennington | Specialist/Technologist, Other | 87936 Limpit Ln, Florence, OR 97439-9053 | 2019-12-11 |
| 1841733680 | Kristin Gai Fedorov | Specialist/Technologist, Other | 5015 Dillard Rd, Eugene, OR 97405-4404 | 2016-11-28 |
| 1801253729 | Julian Haas | Specialist/Technologist, Other | 1150 Darlene Ln Apt 151, Eugene, OR 97401-1109 | 2016-01-22 |
| 1457744690 | Sheila Marie Snyder | Specialist/Technologist, Other | 86462 Rose Hill Rd, Florence, OR 97439-9222 | 2015-03-12 |
| 1902191513 | Jennifer Tickner | Specialist/Technologist, Other | 10152 Silverton Rd Ne, Silverton, OR 97381-9306 | 2011-06-10 |
| 1205153715 | David Joseph Brown | Specialist/Technologist, Other | 14835 Monitor Mckee Rd Ne, Mount Angel, OR 97362-9643 | 2010-04-23 |
| 1962728790 | Martindale Csfa | Specialist/Technologist, Other | 6414 Honeywood Ct Ne, Keizer, OR 97303-1187 | 2010-04-19 |
| 1023262995 | Jacob Nathanael Martinez | Specialist/Technologist, Other | 3410 Merryvale Rd, Eugene, OR 97404-3870 | 2008-11-05 |
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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.