DEREK CHRISTOPHER BONTRAGER (NPI# 1518193382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518193382 |
| Entity Type | Individual |
| Full Name | DEREK CHRISTOPHER BONTRAGER |
| Credential | CRCST,CFA |
| Practice Address |
77 W Forest Ave Ste 301 Flagstaff AZ 86001-1483 |
| Practice Telephone | 9282136229 |
| Practice Fax Number | 9287732126 |
| Mailing Telephone | 9282136229 |
| Mailing Fax Number | 9287732126 |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
77 W FOREST AVE STE 301 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-1483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316985823 | Jennifer Renee Dephillips | Physician Assistant | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2006-06-04 |
| 1073070603 | Daryl Finch | Specialist/Technologist | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2019-03-01 |
| 1790284131 | Sean Easton | Physician Assistant | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2018-02-11 |
| 1447775887 | Kelly Patterson | Physician Assistant | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2017-08-07 |
| 1861839219 | Julie A Degeyter | Physical Therapist | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2013-05-24 |
| 1639433048 | Ross Jones | Orthopaedic Surgery | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001 | 2012-06-29 |
| 1508123175 | Brianna Nicole Patti | Orthopaedic Surgery | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2012-04-19 |
| 1609190115 | Marshall Meier | Physical Medicine & Rehabilitation | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2010-03-26 |
| 1457589061 | Jennifer Marie Almendarez | Specialist | 77 W Forest Ave Ste 301, Flagstaff, AZ 86001-1483 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| 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 |
|---|---|---|---|---|
| 1679942668 | Noraz Surgical Assists | Specialist/Technologist, Other | 50 Pine Del Dr, Flagstaff, AZ 86005-9603 | 2015-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963894 | Arizona Surgical Affiliates Pllc | Specialist/Technologist, Other | Arizona Surgical Affiliates Pllc, 2222 E Highland Ave, Suite 222, Phoenix, AZ 85016-4876 | 2020-08-18 |
| 1437786282 | Allied Peri-op Consulting and Education,llc | Specialist/Technologist, Other | 4237 E 24th St, Tucson, AZ 85711-5659 | 2020-03-23 |
| 1336788777 | Rajan Lazar Paul | Specialist/Technologist, Other | 2941 W Donner Dr, Phoenix, AZ 85041-6344 | 2020-01-02 |
| 1700429057 | Alicia Renee Jennings | Specialist/Technologist, Other | 4624 E Sands Dr, Phoenix, AZ 85050-6862 | 2019-10-18 |
| 1073076113 | Jeffrey Lee Ridout | Specialist/Technologist, Other | 3393 E Morenci Rd, San Tan Valley, AZ 85143-5979 | 2019-04-06 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1649717570 | Abdul Ghaffar Soomro | Specialist/Technologist, Other | 1920 W Sunset Dr, Nogales, AZ 85621-3850 | 2017-01-30 |
| 1154877892 | John Fitzgerald Chandler Sr. | Specialist/Technologist, Other | 5751 N. Kolb Rd. Unit 7108, Tucson, AZ 85750-0872 | 2016-09-01 |
| 1053762674 | Synergy Surgical Assisting LLC | Specialist/Technologist, Other | 1600 S 20th Ave # 85546, Surgery Department, Safford, AZ 85546-4011 | 2016-06-24 |
| 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.