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