TIMOTHY DESOUSA (NPI# 1518386945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518386945 |
| Entity Type | Individual |
| Full Name | TIMOTHY DESOUSA |
| Credential | CSFA |
| Practice Address |
1316 Hearthstone Dr Ridgeland SC 29936-7088 |
| Mailing Address |
Po Box 1460 Hardeeville SC 29927-1460 |
| Practice Telephone | 3525855581 |
| Mailing Telephone | 3525855581 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2019-01-10 |
| 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 |
1316 HEARTHSTONE DR |
| City | RIDGELAND |
| State | SC |
| Zip Code | 29936-7088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912491895 | Marianella Mijares | Specialist/Technologist, Other | 1316 Hearthstone Dr, Ridgeland, SC 29936-7088 | 2018-06-14 |
| 1770009995 | Low Country Surgical Assistants LLC | Physician Assistant | 1316 Hearthstone Dr, Ridgeland, SC 29936-7088 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316075 | Ghc-hilton Head, LLC | Hospice Care, Community Based | 65 Schinger Avenue, Suite 103, Ridgeland, SC 29936 | 2019-10-07 |
| 1568884385 | Kristen Reeves | Occupational Therapist | 10616 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2014-01-14 |
| 1942547138 | Jennifer Loadholt Moore | Social Worker | 204 North Railroad Avenue, Ridgeland, SC 29936 | 2013-01-09 |
| 1568719649 | Jennifer Lynn Coleman | Counselor | 203 N. Railroad Ave., Ridgeland, SC 29936 | 2012-08-08 |
| 1184945925 | Niles Edemeka Carter | Obstetrics & Gynecology | 1320 S. Ribaut Rd, Port Royal, SC 29936 | 2010-06-16 |
| 1831328459 | Jamie Singleton | Pediatrics | 1320 S. Ribaut Rd., Beaufort, SC 29936 | 2009-07-02 |
| 1487801668 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 721 Okatie Hwy 170, Ridgeland, SC 29936 | 2008-08-19 |
| 1295912004 | Ridgeland Dialysis LLC | Clinic/Center | 112 Weathersbee St, Ridgeland, SC 29936 | 2008-01-23 |
| 1518143221 | Ridgeland Eye Associates LLC | Ophthalmology | 10668 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2008-01-11 |
| 1053594713 | Caring Hands Health Equipment & Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 107d East Main Street, Ridgeland, SC 29936 | 2007-12-17 |
| Find all providers in zip 29936 | ||||
| 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 |
|---|---|---|---|---|
| 1740719491 | Lindsay Runnels | Specialist/Technologist, Other | 1000 Highland Colony Pkwy Ste 27202, Ridgeland, MS 39157-2073 | 2017-06-07 |
| 1912491895 | Marianella Mijares | Specialist/Technologist, Other | 1316 Hearthstone Dr, Ridgeland, SC 29936-7088 | 2018-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760027601 | Samantha P Thorpe | Specialist/Technologist, Other | 8224 Little Sydneys Way, Charleston, SC 29406-8923 | 2019-11-14 |
| 1790328086 | Carolina J Chirinos Suarez | Specialist/Technologist, Other | 230 Pelham Rd Apt 46, Greenville, SC 29615-2518 | 2019-10-20 |
| 1164065454 | Jennifer Alexandra Chirinos Suarez | Specialist/Technologist, Other | 300 Pelham Rd Apt 62, Greenville, SC 29615-3138 | 2019-10-20 |
| 1558912584 | Blanca Elcy Jardel | Specialist/Technologist, Other | 1137 Stoney Falls Blvd, Myrtle Beach, SC 29579-4182 | 2019-09-20 |
| 1497237481 | Maryfrances Stevens | Specialist/Technologist, Other | 207 Green Lake Dr, Myrtle Beach, SC 29572-5509 | 2018-09-05 |
| 1801226139 | Tammy Lea Lowe | Specialist/Technologist, Other | 1175 Cook Rd Ste 230, Rmc Palmetto Surgical Group/medical Arts Center, Orangeburg, SC 29118-8201 | 2013-11-22 |
| 1972146520 | Rafael Humberto Chirinos Salazar | Specialist/Technologist, Other | 300 Pelham Rd Apt 62, Greenville, SC 29615-3138 | 2019-10-25 |
| 1053875120 | Smita Patel | Specialist/Technologist, Other | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-01-23 |
| 1962993683 | Wendy Aragon Hall | Specialist/Technologist, Other | 1 Medical Park Dr, Chester, SC 29706-9769 | 2018-05-29 |
| 1093137168 | Schyler Horne | Specialist/Technologist, Other | 1445 N Limestone St, Gaffney, SC 29340-4735 | 2014-01-09 |
| 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.