WILLIAM CLARK0 (NPI# 1487886834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487886834 |
| Entity Type | Individual |
| Full Name | WILLIAM CLARK0 |
| Practice Address |
8921 Black Panther Cv Hernando MS 38632-4305 |
| Practice Telephone | 9015905968 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |
| 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 |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
8921 BLACK PANTHER CV |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| Find all providers in zip 38632 | ||||
| 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 |
|---|---|---|---|---|
| 1376178954 | Melissa Ann Ranson | Specialist/Technologist, Other | 14200 Deneen Rd, Vancleave, MS 39565-6704 | 2020-03-04 |
| 1093376998 | Latrice R Spivey | Specialist/Technologist, Other | 9444 Mclemore Cv, Walls, MS 38680-9782 | 2019-06-22 |
| 1700440732 | Cessalee Nell Williams | Specialist/Technologist, Other | 1905 E Mchenry Rd, Perkinston, MS 39573-3453 | 2019-04-25 |
| 1164999009 | James Roy Sanderson | Specialist/Technologist, Other | 223 Myrtle St W, Philadelphia, MS 39350-3037 | 2018-10-29 |
| 1932682879 | Nathan Ladner | Specialist/Technologist, Other | 24816 Saucier Advance Rd, Saucier, MS 39574-8164 | 2018-09-06 |
| 1497233324 | Kimberly S Evans | Specialist/Technologist, Other | 7016 Oak Cove Dr, Biloxi, MS 39532-5013 | 2018-08-02 |
| 1740719491 | Lindsay Runnels | Specialist/Technologist, Other | 1000 Highland Colony Pkwy Ste 27202, Ridgeland, MS 39157-2073 | 2017-06-07 |
| 1396289203 | Keneen Childress | Specialist/Technologist, Other | 12035 Springridge Rd, Terry, MS 39170-8105 | 2016-12-12 |
| 1013382910 | April Jones | Specialist/Technologist, Other | 11117 Johns Bayou Rd, Vancleave, MS 39565-8857 | 2015-12-03 |
| 1093102394 | Destini Jones | Specialist/Technologist, Other | 1151 Old Highway 26, Perkinston, MS 39573-5844 | 2015-04-24 |
| Find all providers with the same taxonomy | ||||
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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.