MRS. KRISTIN MICHELLE JANICEK (NPI# 1891945481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891945481 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN MICHELLE JANICEK |
| Credential | SA-C, CST |
| Practice Address |
7400 E Thompson Peak Pkwy Scottsdale AZ 85255-4109 |
| Mailing Address |
27646 N 62nd Pl Scottsdale AZ 85266-8757 |
| Practice Telephone | 4803356785 |
| Mailing Telephone | 4803356785 |
| Mailing Fax Number | 4809077544 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2018-12-26 |
| 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 |
AZ | Technologists, Technicians & Other Technical Service Providers | |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
AZ | Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27646 N 62nd Pl, Scottsdale, AZ 852668757 | 4802540335 | 4809077544 |
| 9300 E Shea Blvd, Scottsdale, AZ 852606716 | 4803356785 |
| Street Address |
7400 E THOMPSON PEAK PKWY |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609826940 | Carie R Barlow | Internal Medicine | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2006-05-10 |
| 1124642608 | Mark Shoukry | Internal Medicine | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-06-01 |
| 1760002968 | Samuel Jeffrey Martin | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-17 |
| 1770102600 | Guy Christopher Charest | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-10 |
| 1750910212 | Zeke Bartholomew Clemmens | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-06 |
| 1912536475 | Melissa Marie Kerkelis | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-06 |
| 1598394298 | Elena Minju Cho | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-04 |
| 1093344871 | Sheridan Leigh James | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-03 |
| 1407484520 | Soo Yeon Kim | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-01 |
| 1285262303 | Ariel Kerry-gnazzo | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| 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 |
|---|---|---|---|---|
| 1104210343 | Yolanda Elizabeth Rzepka | Specialist/Technologist, Other | 8913 E Bell Rd Ste 201, Scottsdale, AZ 85260-1300 | 2015-03-25 |
| 1295124733 | Brandi Nicole Shields | Specialist/Technologist, Other | 7001 E Palm Ln, #120, Scottsdale, AZ 85257-2716 | 2015-01-21 |
| 1801028048 | Western Surgical Services, Pllc | Specialist/Technologist, Other | 7672 E Davenport Dr, Scottsdale, AZ 85260-4020 | 2009-08-21 |
| 1285127241 | Katie Neumarker Jalbert | Specialist/Technologist, Other | 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 | 2018-06-13 |
| 1073005187 | Luis Santiago Garcia Diaz | Specialist/Technologist, Other | 10115 E Bell Rd Ste 107-508, Scottsdale, AZ 85260-2189 | 2018-06-04 |
| 1952853699 | Amber Acosta | Specialist/Technologist, Other | 8913 E Bell Rd Ste 101b, Scottsdale, AZ 85260-1598 | 2016-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963894 | Arizona Surgical Affiliates Pllc | Specialist/Technologist, Other | Arizona Surgical Affiliates Pllc, 2222 E Highland Ave, Suite 222, Phoenix, AZ 85016-4876 | 2020-08-18 |
| 1437786282 | Allied Peri-op Consulting and Education,llc | Specialist/Technologist, Other | 4237 E 24th St, Tucson, AZ 85711-5659 | 2020-03-23 |
| 1336788777 | Rajan Lazar Paul | Specialist/Technologist, Other | 2941 W Donner Dr, Phoenix, AZ 85041-6344 | 2020-01-02 |
| 1700429057 | Alicia Renee Jennings | Specialist/Technologist, Other | 4624 E Sands Dr, Phoenix, AZ 85050-6862 | 2019-10-18 |
| 1073076113 | Jeffrey Lee Ridout | Specialist/Technologist, Other | 3393 E Morenci Rd, San Tan Valley, AZ 85143-5979 | 2019-04-06 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1649717570 | Abdul Ghaffar Soomro | Specialist/Technologist, Other | 1920 W Sunset Dr, Nogales, AZ 85621-3850 | 2017-01-30 |
| 1154877892 | John Fitzgerald Chandler Sr. | Specialist/Technologist, Other | 5751 N. Kolb Rd. Unit 7108, Tucson, AZ 85750-0872 | 2016-09-01 |
| 1053762674 | Synergy Surgical Assisting LLC | Specialist/Technologist, Other | 1600 S 20th Ave # 85546, Surgery Department, Safford, AZ 85546-4011 | 2016-06-24 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
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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.