SHOUDLIE MANOTTE JOSEPH


Address: 5811 Bustleton Ave, Philadelphia, PA 19149-3405
Phone: 3474440241

SHOUDLIE MANOTTE JOSEPH (NPI# 1639720865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639720865
Entity Type Individual
Full Name SHOUDLIE MANOTTE JOSEPH
Credential SA-C
Practice Address 5811 Bustleton Ave
Philadelphia
PA 19149-3405
Practice Telephone 3474440241
Mailing Telephone 3474440241
Enumeration Date 2019-09-29
Last Update Date 2019-09-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
19-399 FL Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 5811 BUSTLETON AVE
City PHILADELPHIA
State PA
Zip Code 19149-3405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508418948 Double Care Inc Clinic/Center 2900-14 Cottman Ave, Philadelphia, PA 19149 2019-07-16
1710539457 Xiao Rong Li Adult Companion 2900 - 14 Cottman Avenue, Philadelphia, PA 19149 2019-07-12
1154982775 K Dental LLC Clinic/Center 6214 Bustleton Avenue, Philadelphia, PA 19149 2019-06-25
1851950430 Halo Staffing Agency, LLC Home Health 6401 Akron St., Philadelphia, PA 19149 2019-06-07
1518450626 Family First Home Healthcare LLC In Home Supportive Care 1405 Alcott St, Philadelphia, PA 19149 2018-06-13
1992106926 Elena Semprevivo Dentist 2107 Cottman Avenue, Philadelphia, PA 19149 2014-09-09
1518366988 Abundant Life Home Health Services Home Health 6632-46 Bustleton Ave, Philadelphia, PA 19149 2014-08-21
1598189771 Citywide Community Counseling Services Clinic/Center 1346 Knorr St, Philadelphia, PA 19149 2014-02-10
1114341328 Citywide Community Counseling Services Clinic/Center 5807 Bustleton Avenue, Philadelphia, PA 19149 2014-02-07
1790115509 Norman Huynh Physical Therapist 6595 B East Roosevelt Boulevard, Philadelphia, PA 19149 2013-11-14
Find all providers in zip 19149

Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639787914 Bermann Augustin Specialist/Technologist, Other 1354 Harrison St, Philadelphia, PA 19124-5929 2020-07-22
1538710561 Michael Arthur Specialist/Technologist, Other 8021 Moro St Apt B, Philadelphia, PA 19136-2617 2019-09-20
1164999009 James Roy Sanderson Specialist/Technologist, Other 223 Myrtle St W, Philadelphia, MS 39350-3037 2018-10-29
1306326376 David Augusto Britton Daysy Specialist/Technologist, Other 112 N 34th St Apt 2f, Philadelphia, PA 19104-4909 2018-08-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558792341 Matthew Pring Specialist/Technologist, Other 5261 Aberdene St, Center Valley, PA 18034-9550 2013-12-05
1003172255 Earl Frederick Myers IIi Specialist/Technologist, Other 1504 Hillcrest Rd, Lancaster, PA 17603-2417 2012-04-02
1982938742 Rebecca L Milliron Specialist/Technologist, Other 108 Cliff St, Punxsutawney, PA 15767-2240 2009-09-28
1992959274 Randy James Witherow Specialist/Technologist, Other 32 Fairview Ave, Punxsutawney, PA 15767-8255 2008-11-12
1740442003 Jane Kathleen Hyde Specialist/Technologist, Other 236 W 9th St, Bloomsburg, PA 17815-2506 2008-06-27
1134519945 Darren Stoltzfus Specialist/Technologist, Other 250 College Ave, Lancaster, PA 17603-3363 2015-02-01
1538563804 Amber Snyder Specialist/Technologist, Other 1705 Warren Ave, Suite 103, Williamsport, PA 17701-2647 2014-10-15
1396065728 Suhail Aziz Specialist/Technologist, Other 421 W Chew St, Allentown, PA 18102-3406 2010-06-08
1700073764 Tracy W Crook Specialist/Technologist, Other 100 Penn St, Hanover, PA 17331-1956 2007-10-03
1972642841 Donald Lee Hay Specialist/Technologist, Other 116 Interstate Pkwy, Bradford, PA 16701-1036 2007-02-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19149

Improve Information

Please comment or provide details below to improve the information on SHOUDLIE MANOTTE JOSEPH.

Dataset Information

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.

Trending Searches