CORVIN W TOMPKINS (NPI# 1902344187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902344187 |
| Entity Type | Individual |
| Full Name | CORVIN W TOMPKINS |
| Credential | SA-C |
| Practice Address |
11782 Sw Barnes Rd Suite 200 Portland OR 97225-5914 |
| Practice Telephone | 5039064300 |
| Practice Fax Number | 5039064333 |
| Mailing Telephone | 5039064300 |
| Mailing Fax Number | 5039064333 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
01-120 | OR | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CERTIFICATION NUMBER | 01-120 | 01 |
| Street Address |
11782 SW BARNES RD SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889399 | Brett M Andres | Orthopaedic Surgery | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2005-08-30 |
| 1982179560 | Andrew Stanton | Physician Assistant | 11782 Sw Barnes Rd, Portland, OR 97225-5914 | 2018-10-10 |
| 1790226322 | Melissa Ann Senn-reis | Specialist/Technologist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2017-03-15 |
| 1073059754 | Daniel Lewis Fisher | Specialist/Technologist, Other | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2017-01-18 |
| 1891189056 | Martha Miller | Specialist/Technologist | 11782 Sw Barnes Rd, Portland, OR 97225-5914 | 2015-03-26 |
| 1598170425 | Ashley Wood | Physician Assistant | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2014-06-30 |
| 1184962128 | Michele Shivack | Physical Therapist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2013-01-25 |
| 1366799405 | Jessica Lynn Martschinske | Specialist/Technologist | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2012-08-08 |
| 1235485053 | Nick Adam George | Physical Therapist | 11782 Sw Barnes Rd, Ste 100, Portland, OR 97225-5914 | 2012-07-30 |
| 1821370875 | Limelight Group | Anesthesiology | 11782 Sw Barnes Rd, Building C Suite 200, Portland, OR 97225-5914 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| 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 |
|---|---|---|---|---|
| 1962671545 | Se Jong Park | Specialist/Technologist, Other | 51 Illsley St, Portland, ME 04103-5110 | 2008-02-27 |
| 1619352143 | Terry Page | Specialist/Technologist, Other | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2015-07-27 |
| 1528310653 | Ian Michael Higgins | Specialist/Technologist, Other | 144 State St, Portland, ME 04101-3776 | 2012-10-13 |
| 1952573313 | Sejongsa | Specialist/Technologist, Other | 51 Illsley St, Portland, ME 04103-5110 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224325 | Shon Patrick Hueth | Specialist/Technologist, Other | 6796 Ivy St, Springfield, OR 97478-7355 | 2020-04-24 |
| 1962022566 | Tl Surgical Assistants | Specialist/Technologist, Other | 13720 Sw 24th St, Beaverton, OR 97008-5055 | 2020-04-23 |
| 1427696244 | Colleen Marie Pennington | Specialist/Technologist, Other | 87936 Limpit Ln, Florence, OR 97439-9053 | 2019-12-11 |
| 1841733680 | Kristin Gai Fedorov | Specialist/Technologist, Other | 5015 Dillard Rd, Eugene, OR 97405-4404 | 2016-11-28 |
| 1801253729 | Julian Haas | Specialist/Technologist, Other | 1150 Darlene Ln Apt 151, Eugene, OR 97401-1109 | 2016-01-22 |
| 1457744690 | Sheila Marie Snyder | Specialist/Technologist, Other | 86462 Rose Hill Rd, Florence, OR 97439-9222 | 2015-03-12 |
| 1902191513 | Jennifer Tickner | Specialist/Technologist, Other | 10152 Silverton Rd Ne, Silverton, OR 97381-9306 | 2011-06-10 |
| 1205153715 | David Joseph Brown | Specialist/Technologist, Other | 14835 Monitor Mckee Rd Ne, Mount Angel, OR 97362-9643 | 2010-04-23 |
| 1962728790 | Martindale Csfa | Specialist/Technologist, Other | 6414 Honeywood Ct Ne, Keizer, OR 97303-1187 | 2010-04-19 |
| 1023262995 | Jacob Nathanael Martinez | Specialist/Technologist, Other | 3410 Merryvale Rd, Eugene, OR 97404-3870 | 2008-11-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CORVIN W TOMPKINS.
| 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.