MOORE SURGICAL ASSISTANT, LLC (NPI# 1679017750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679017750 |
Entity Type | Organization |
Organization Name | MOORE SURGICAL ASSISTANT, LLC |
Practice Address |
80 Moore Rd Kingston GA 30145-2619 |
Practice Telephone | 7708421857 |
Practice Fax Number | 7706060600 |
Mailing Telephone | 7708421857 |
Mailing Fax Number | 7706060600 |
Enumeration Date | 2016-12-08 |
Last Update Date | 2016-12-08 |
Authorized Official Name | VICKI L MOORE (PREISDENT) |
Authorized Official Telephone | 7708421857 |
Authorized Official Credential | CST/CSFA |
Is Organization Subpart | 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 |
Street Address |
80 MOORE RD |
City | KINGSTON |
State | GA |
Zip Code | 30145-2619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134241755 | Joy Hafner Bailey | Counselor | 38 Lowry Way, Kingston, GA 30145 | 2007-04-04 |
1578777967 | Carole Elaine Gooch | Nurse Practitioner | 30 Ward Mountain Rd, Kingston, GA 30145-1129 | 2007-05-09 |
1073774105 | House Calls of Nw Georgia, LLC | Nurse Practitioner | 30 Ward Mountain Rd, Kingston, GA 30145-1129 | 2008-06-20 |
1700281664 | Christa Care Home and Health Services Inc | Home Health | 486 Brewer Rd, Kingston, GA 30145-1821 | 2014-11-04 |
1841656600 | Michele Abdul-qawiy | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
1700242575 | Tracey Cooke | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
1912328097 | Brandon Williamson | Specialist/Technologist | 16 Talon Ct, Kingston, GA 30145-1868 | 2013-12-17 |
1407166598 | Peggy Jo Mccomas | Licensed Practical Nurse | 25 Moss Ln, Euharlee, GA 30145-2762 | 2010-10-07 |
1073092144 | Joel Rader | Speech-Language Pathologist | 1061 Euharlee Rd, Euharlee, GA 30145-2807 | 2018-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
1225637309 | Christine Marie Pabst | Nurse Practitioner | 667 Meadowland Ave, Kingston, PA 18704-5316 | 2020-10-20 |
1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
1154938744 | Dale Sumilang | Registered Nurse | 55 Lower College Rd Rm 204, Kingston, RI 02881-1972 | 2020-09-28 |
1942817689 | Brenna Grace Maynard | Student in an Organized Health Care Education/Training Program | 55 Lower College Rd, Kingston, RI 02881-1972 | 2020-09-27 |
1790398626 | Carmine P Milo | Registered Nurse | 22 Dunwoodie Dr, Kingston, NY 12401-6920 | 2020-08-29 |
1659984268 | Julia Ann Forbes | Social Worker | 3 Schoolhouse Ln, Kingston, MA 02364-1861 | 2020-08-25 |
1679185565 | Gina Weidow | Social Worker | 480 Pierce St Ste 316, Kingston, PA 18704-5512 | 2020-08-20 |
1053922245 | Olivia R Mackrell | Social Worker | 1023 Decker St, Kingston, NY 12401-1405 | 2020-08-12 |
Find all providers in KINGSTON |
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 |
---|---|---|---|---|
1942818422 | Lisa M Arey | Specialist/Technologist, Other | 2429 Salem Ct Sw, Marietta, GA 30064-4259 | 2020-07-21 |
1457972309 | Shanon Marie Roderick | Specialist/Technologist, Other | 115 Bradford Ct, Savannah, GA 31406-4122 | 2020-05-01 |
1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
1003448911 | Kirstin Gabler | Specialist/Technologist, Other | 2119 Wilshire Dr Sw, Marietta, GA 30064-4197 | 2020-02-08 |
1982244257 | Chad Seawright | Specialist/Technologist, Other | 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887 | 2020-01-14 |
1952948945 | Haley Johnson | Specialist/Technologist, Other | 619 Minter Rd, Griffin, GA 30223-5635 | 2019-12-09 |
1215579982 | Anfernee Jerome Walker | Specialist/Technologist, Other | 990 Thousand Oaks Dr, Lawrenceville, GA 30043-3123 | 2019-10-14 |
1043852197 | James Hoffman | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2019-10-10 |
1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
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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.