MR. KELLY DEAN SANDERS (NPI# 1619296274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619296274 |
| Entity Type | Individual |
| Full Name | MR. KELLY DEAN SANDERS |
| Credential | LSA |
| Practice Address |
7309 Winding Way Dr Arlington TX 76001-2006 |
| Practice Telephone | 8177149066 |
| Mailing Telephone | 8177149066 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2020-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
381 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA00575 | TX | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619013117 | Kelly Alice Sanders | Optometrist | 518 E Green St, Illini Eyecare Express, Champaign, IL 61820 | 2007-01-30 |
| 1891314720 | Kelly Sanders | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1400, Houston, TX 77030-5389 | 2020-04-10 |
| 1629633938 | Kelly Anne Sanders | Community Health Worker | 162 N 400 E Ste A105, St George, UT 84770-7192 | 2019-05-02 |
| 1932664828 | Kelly L Sanders | Licensed Practical Nurse | 462 Chardon St, Painesville, OH 44077-3019 | 2019-02-05 |
| 1669903480 | Kelly Corbett Sanders | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2017-03-23 |
| 1689031098 | Kelly Lyne Sanders | Pharmacist | 100 N Academy Ave, Danville, PA 17822-9800 | 2016-01-15 |
| 1467656504 | Kelly L Sanders | Social Worker | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-06-13 |
| 1316978182 | Kelly Marie Sanders | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2006-07-06 |
| Street Address |
7309 WINDING WAY DR |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76001-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104300789 | Kds Surgical Assisting, Pllc | Specialist/Technologist, Other | 7309 Winding Way Dr, Arlington, TX 76001-2006 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958229 | Patients Choice, LLC | Durable Medical Equipment & Medical Supplies | 719 W. Harris St., Suite B10, Arlington, TX 76001 | 2020-06-25 |
| 1396248688 | Holly Daniels | Health Educator | 7120 S. Cooper St., Arlington, TX 76001 | 2018-03-13 |
| 1629577036 | Samuel Kromer | Health Educator | 7120 S. Cooper Street, Arlington, TX 76001 | 2018-02-12 |
| 1578089678 | Lone Star Assist LLC | Specialist/Technologist, Other | 7802 Fox Chase Dr., Arlington, TX 76001 | 2017-08-21 |
| 1427595263 | Tayo Osiyemi | Behavior Technician | 6408 Rock Springs, Arlington, TX 76001 | 2017-01-31 |
| 1922555911 | Arlington-mansfield Area Young Men's Christian Association | Health Educator | 7201 S Cooper St, Arlington, TX 76001 | 2016-09-07 |
| 1356732267 | Jayce Rodriguez | Physician Assistant | 8015 S. Cooper Street, Arlington, TX 76001 | 2015-02-13 |
| 1194069849 | Kathryn Elise Johnson | Counselor | 7100 S Cooper St Ste 9, Arlington, TX 76001 | 2012-11-19 |
| 1831473305 | Jae Brimhall | Dentist | 6501 S Cooper St Ste 129, Arlington, TX 76001 | 2011-10-03 |
| 1114226990 | Resource Hcs & Txhml | Community/Behavioral Health | 7901 Modesto Dr, Arlington, TX 76001 | 2011-03-20 |
| Find all providers in zip 76001 | ||||
| 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 |
|---|---|---|---|---|
| 1396380788 | Treva J Hiesermann | Specialist/Technologist, Other | 1203 Brookmont Dr, Arlington, TX 76018-2951 | 2019-11-09 |
| 1659852440 | Jacquetta Jackson | Specialist/Technologist, Other | 1021 Telluride Dr, Arlington, TX 76001-8529 | 2018-08-28 |
| 1740772318 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 8402 Vinetree Dr, Arlington, TX 76002-4537 | 2018-05-30 |
| 1174025241 | Ahmad Sherzay | Specialist/Technologist, Other | 5218 Villa Del Mar Ave Apt 1416, Arlington, TX 76017-7516 | 2018-03-05 |
| 1629597372 | Se Sihongheune | Specialist/Technologist, Other | 7205 Fossil Garden Dr, Arlington, TX 76002-4445 | 2017-09-13 |
| 1578089678 | Lone Star Assist LLC | Specialist/Technologist, Other | 7802 Fox Chase Dr., Arlington, TX 76001 | 2017-08-21 |
| 1225563018 | Jimmie Davis Jr. | Specialist/Technologist, Other | 1109 Bell St, Arlington, TX 76001-7116 | 2017-04-28 |
| 1639434905 | Ernesto Cabrera | Specialist/Technologist, Other | 829 Hems Ln, Arlington, TX 76001-5920 | 2012-07-11 |
| 1902138506 | Jonathan Scott Wecker | Specialist/Technologist, Other | 8222 San Jose St, Arlington, TX 76002-3795 | 2010-02-05 |
| 1659548576 | Esteban Coss | Specialist/Technologist, Other | 3301 Matlock, Arlington, TX 76015 | 2008-05-09 |
| Find all providers in ARLINGTON | ||||
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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.