JACKSON SURGICAL ASSISTANTS, LLC (NPI# 1649553181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649553181 |
| Entity Type | Organization |
| Organization Name | JACKSON SURGICAL ASSISTANTS, LLC |
| Other Organization Name | JSA OF OHIO |
| Practice Address |
630 E River St Elyria OH 44035-5902 |
| Mailing Address |
Po Box 543 Alpharetta GA 30009-0543 |
| Practice Telephone | 6789834479 |
| Mailing Telephone | 6789834479 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | ANN H SCHAKER (BILLING DIRECTOR) |
| Authorized Official Telephone | 6789834479 |
| Is Organization Subpart | Y |
| Parent Organization Name | JACKSON SURGICAL ASSISTANTS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
Nursing Service Providers | ||
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208600000X | Surgery | 35.027433 | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| JSA of Ohio | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699024380 | Jackson Surgical Assistants, LLC | Specialist/Technologist, Other | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2012-09-10 |
| 1487934550 | Jackson Surgical Assistants, LLC | Specialist | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2011-08-22 |
| 1518199116 | Jackson Surgical Assistants, LLC | Specialist | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2009-08-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Jackson Surgical Assistants, LLC | 2655 Northwinds Parkway, Alpharetta, GA 30009 |
| Street Address |
630 E RIVER ST |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299039 | Emh Regional Medical Center | General Acute Care Hospital | 630 E River St, Elyria, OH 44035-5902 | 2005-07-19 |
| 1467069989 | James Kellogg II | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2020-09-29 |
| 1326651761 | Vicki J Sexstella | Respiratory Therapist, Registered | 630 E River St, Elyria, OH 44035-5902 | 2020-08-25 |
| 1003434952 | Bretzyl M Liscoe | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-07-08 |
| 1760009633 | Ashley Tobicash | Family Medicine | 630 E River St, Elyria, OH 44035-5902 | 2020-06-26 |
| 1144843673 | Johnna Diaz | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-05-19 |
| 1295357911 | Denise N Dalton | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-05-15 |
| 1568094530 | Lori Clark | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-02-07 |
| 1467083501 | Debora Petani | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2020-01-28 |
| 1487292272 | Amy S Newton | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436729 | Keith Warner | Surgery | 125 E Broad St, Ste 219, Elyria, OH 44035-6447 | 2005-06-11 |
| 1629422480 | Emh Regional Medical Center | Surgery | 630 E River St, Elyria, OH 44035-5902 | 2016-04-19 |
| 1306091780 | Joseph A Girgis Md Inc | Surgery | 210 E Broad St, Elyria, OH 44035-6431 | 2008-11-26 |
| 1780837880 | Mita Patel | Surgery | 41201 Schadden Rd, Elyria, OH 44035-2249 | 2008-11-03 |
| 1639384985 | Joanna Kristine Brown | Surgery | 125 E Broad St, Suite 219, Elyria, OH 44035-6400 | 2007-05-11 |
| 1972601474 | North Ohio Surgery, Inc. | Surgery | 210 E Broad St, Elyria, OH 44035-6431 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACKSON SURGICAL ASSISTANTS, LLC.
| 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.