MR. EVERARDO LOPEZ PERNA (NPI# 1710527510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710527510 |
| Entity Type | Individual |
| Full Name | MR. EVERARDO LOPEZ PERNA |
| Credential | CSA |
| Practice Address |
4001 Kresge Way Ste 200 Louisville KY 40207-4640 |
| Mailing Address |
4703 Laramie Ct Louisville KY 40216-4045 |
| Practice Telephone | 5028951995 |
| Practice Fax Number | 5028956479 |
| Mailing Telephone | 7864619972 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA342 | KY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4001 KRESGE WAY STE 200 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548471741 | Mary Susan Dearmond | Registered Nurse | 4001 Kresge Way Ste 200, Louisville, KY 40207-4640 | 2007-05-28 |
| 1114282761 | Eva M. Owen | Specialist/Technologist, Other | 4001 Kresge Way Ste 200, Louisville, KY 40207-4640 | 2012-07-10 |
| 1255604336 | Wendy Autumn Lewis | Specialist/Technologist, Other | 4001 Kresge Way Ste 200, Louisville, KY 40207-4640 | 2012-02-20 |
| 1194024422 | Danielle Elise Humphrey | Surgery | 4001 Kresge Way Ste 200, Louisville, KY 40207-4640 | 2011-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| 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 |
|---|---|---|---|---|
| 1518506567 | Jennifer Catherine Samargo | Specialist/Technologist, Other | 4617 Andalusia Ln, Louisville, KY 40272-3301 | 2019-12-22 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1134699838 | Javier Jesus Suarez Rivera | Specialist/Technologist, Other | 3607 Fountain Dr Apt 2, Louisville, KY 40218-2559 | 2018-11-26 |
| 1619377181 | Muhamed Toric | Specialist/Technologist, Other | 9836 Oakshire Dr, Louisville, KY 40299-3113 | 2014-09-03 |
| 1821375056 | Lynn M Slider | Specialist/Technologist, Other | 7008 Whipple Rd, Louisville, KY 40272-4742 | 2011-11-16 |
| 1487951810 | Rebecca Kathleen Smith | Specialist/Technologist, Other | 3029 Wedgewood Way, Louisville, KY 40220-1731 | 2011-02-21 |
| 1548585383 | Darren Shawn Duncan | Specialist/Technologist, Other | 229 Wild Way, Louisville, KY 40229-6027 | 2010-04-05 |
| 1306072913 | Travis O'neil Pablo | Specialist/Technologist, Other | 7601 Carmil Ct, Louisville, KY 40291-2931 | 2009-06-09 |
| 1154485407 | Jaime E Claros | Specialist/Technologist, Other | 9111 Linn Station Rd, Louisville, KY 40222-5724 | 2006-12-21 |
| 1922092204 | Claudia Paulette Smith | Specialist/Technologist, Other | 3900 Kresge Way Ste 51, Louisville, KY 40207-4683 | 2005-09-01 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.