GAYLENE HEATON


Address: 502 Copper St Ste 5, Hurley, WI 54534-1386
Phone: 7155630092

GAYLENE HEATON (NPI# 1740701614) 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) 1740701614
Entity Type Individual
Full Name GAYLENE HEATON
Credential OT-SC
Practice Address 502 Copper St Ste 5
Hurley
WI 54534-1386
Mailing Address 14337n Stateline Rd
Hurley
WI 54534
Practice Telephone 7155630092
Mailing Telephone 7153601250
Enumeration Date 2017-06-30
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
17-2770 Technologists, Technicians & Other Technical Service Providers
N 246ZX2200X Specialist/Technologist, Other
Specialization: Orthopedic Assistant
16-1140 Technologists, Technicians & Other Technical Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
601 S 7th St, Ontonagon, MI 499531459 7155630092
611 Veterans Pkwy, Woodruff, WI 545689195 7155630092

Office Location

Street Address 502 COPPER ST STE 5
City HURLEY
State WI
Zip Code 54534-1386

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NPI Name Taxonomy Address Enumeration
1285613372 Home Medical Products & Services LLC Durable Medical Equipment & Medical Supplies 223 Silver St, Hurley, WI 54534 2006-01-17
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1689697328 Paul G Hagemann Dentist 210 5th Ave N, Hurley, WI 54534-1209 2006-07-25
1437719267 The Lakes Community Health Center, Inc Clinic/Center 210 5th Ave N, Hurley, WI 54534-1209 2019-06-14
1932532793 Mark Wesley Bolen Counselor 209 Silver St, Hurley, WI 54534-1253 2013-08-15
1497766232 White Cross Pharmacy Inc Pharmacy 314 Silver St, Hurley, WI 54534-1254 2006-08-10
1518211655 Erik N Overby Pharmacist 314 Silver St, Hurley, WI 54534-1254 2012-10-27
1265784185 Laura Katherine Burt Pharmacist 314 Silver St, Hurley, WI 54534-1254 2012-10-03
1982641353 Northwoods Family Orthopaedics S.c. Orthopaedic Surgery 502 Copper St, Hurley, WI 54534-1345 2006-06-02
1659413441 County of Iron Public Health or Welfare 502 Copper St, Suite 2, Hurley, WI 54534-1345 2007-02-12
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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 state

NPI Name Taxonomy Address Enumeration
1124673611 Kim Marie Kummrow Specialist/Technologist, Other 9000 W Wisconsin Ave Ste 360, Milwaukee, WI 53226-4874 2019-08-02
1801330709 Ann Nollet Specialist/Technologist, Other 2876 E Carlson Rd, Foxboro, WI 54836-9511 2016-12-12
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1497150866 Jonathan Ratzel Specialist/Technologist, Other 330 Brookside Dr Unit 1, Mayville, WI 53050-2855 2014-10-28
1033452503 Allen Limberg Specialist/Technologist, Other 1200 Pintail Ln, Wausau, WI 54401-8110 2013-04-02
1932440989 Superior Surgical Services, LLC Specialist/Technologist, Other 3121 Oak Knoll Dr, Apt 4, Eau Claire, WI 54701-6400 2013-03-14
1457618472 Andreas Konrad Haase Specialist/Technologist, Other 3705 County Road H Apt 5, Franksville, WI 53126-9332 2012-04-15
1710265913 Katherine Marie Holsclaw Specialist/Technologist, Other 18200 W Capitol Dr, Brookfield, WI 53045-1445 2011-07-22
1235432931 Vickie L Kutzler Specialist/Technologist, Other 10400 75 Th Street, Kenosha, WI 53142-7884 2010-12-19
1316247489 Christopher A Stevenson Specialist/Technologist, Other N8556 622nd St, Colfax, WI 54730-4610 2010-10-23
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Competitor

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City HURLEY
Zip Code 54534

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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.

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