LISA M MARCINIAK (NPI# 1528337177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528337177 |
| Entity Type | Individual |
| Full Name | LISA M MARCINIAK |
| Credential | CST, CFA, OPA-C |
| Practice Address |
2650 N Tenaya Way #301 Las Vegas NV 89128-1102 |
| Practice Telephone | 7028780393 |
| Practice Fax Number | 7029395014 |
| Mailing Telephone | 7028780393 |
| Mailing Fax Number | 7029395014 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |
| Gender Code | F |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NATIONAL BOARD OF SURGICAL TECHNOLOGY & SURGICAL ASSISTING CERTI | 081087 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396252748 | Lisa Marciniak | Nurse Practitioner | 1730 S Reynolds Rd, Toledo, OH 43614-1402 | 2018-01-08 |
| 1306944145 | Lisa Freeman Marciniak | Counselor | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2006-09-20 |
| Street Address |
2650 N TENAYA WAY #301 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746477 | Pr Acquisition Corporation | Clinic/Center | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2006-03-31 |
| 1114493160 | Joseph Weber | Physical Therapist | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2018-10-17 |
| 1043680440 | Southwest Medical Associates, Inc | Clinic/Center | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2015-09-29 |
| 1003297409 | Erin Longhurst | Physical Therapist | 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128-1102 | 2015-06-11 |
| 1790181089 | Nils Jordan | Physical Therapist | 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128-1102 | 2014-11-13 |
| 1386992758 | Breno T Rodrigues | Physical Therapist | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2012-08-16 |
| 1245545763 | Eric Learing | Physical Therapist | 2650 N Tenaya Way, 180, Las Vegas, NV 89128-1102 | 2010-08-09 |
| 1821269812 | Pr Acquisition Corporation | Durable Medical Equipment & Medical Supplies | 2650 N Tenaya Way, #180, Las Vegas, NV 89128-1102 | 2008-03-18 |
| 1255511747 | Orthopedic Trauma Specialists, LLP | Orthopaedic Surgery | 2650 N Tenaya Way, #301, Las Vegas, NV 89128-1102 | 2007-11-13 |
| 1255441903 | H Stevenson | Physical Therapy Assistant | 2650 N Tenaya Way, #180, Las Vegas, NV 89128-1102 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| 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 |
|---|---|---|---|---|
| 1932753019 | Maria Josefina Olivar Mata | Specialist/Technologist, Other | 5271 Sunny Beach Ln, Las Vegas, NV 89118-1391 | 2019-07-28 |
| 1750853495 | Isaac Raphael Rhino | Specialist/Technologist, Other | 10739 Knickerbocker Ave, Las Vegas, NV 89166-8009 | 2018-12-19 |
| 1073026506 | Daisel Guevara | Specialist/Technologist, Other | 3080 Greendale St, Las Vegas, NV 89121-2715 | 2017-11-07 |
| 1073038626 | Yasmin Mauro | Specialist/Technologist, Other | 7205 Almerta Ave, Las Vegas, NV 89178-8032 | 2017-08-04 |
| 1093242349 | Heather Gamez | Specialist/Technologist, Other | 8930 W Sunset Rd Ste 140, Las Vegas, NV 89148-5009 | 2017-05-17 |
| 1083075980 | Christopher G Gastelum Sr. | Specialist/Technologist, Other | 1748 Victor Hugo Ln, Las Vegas, NV 89115-8231 | 2016-03-19 |
| 1821384397 | Eric Joseph Tiesi | Specialist/Technologist, Other | 8960 W. Tropicana Avenue, Suite 500, Las Vegas, NV 89147-8139 | 2011-06-23 |
| 1851687693 | Scott A Brandon | Specialist/Technologist, Other | 1857 Derbyshire Dr, Las Vegas, NV 89117-5358 | 2011-06-20 |
| 1124527155 | Jeysom Jose Kus | Specialist/Technologist, Other | 7040 Smoke Ranch Rd, Las Vegas, NV 89128-8607 | 2018-02-05 |
| 1710429741 | Stephanie Cooper | Specialist/Technologist, Other | 7385 S Pecos Rd, Suite 103, Las Vegas, NV 89120-3768 | 2016-11-08 |
| Find all providers in LAS VEGAS | ||||
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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.