DERRIC RENTON (NPI# 1922049568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922049568 |
Entity Type | Individual |
Full Name | DERRIC RENTON |
Credential | CSA,KCSA |
Practice Address |
107 Tunnel Hill Rd Georgetown IN 47122-9131 |
Practice Telephone | 8129232050 |
Practice Fax Number | 8129232883 |
Mailing Telephone | 8129232050 |
Mailing Fax Number | 8129232883 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2015-02-11 |
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 |
SA061 | KY | Technologists, Technicians & Other Technical Service Providers |
Street Address |
107 TUNNEL HILL RD |
City | GEORGETOWN |
State | IN |
Zip Code | 47122-9131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609054097 | Rush Memorial Hospital | Skilled Nursing Facility | 1002 Sister Barbara Way, Georgetown, IN 47122 | 2008-02-07 |
1033322110 | Victoria S Evans | Occupational Therapy Assistant | 1504 Allen Dr, Georgetown, IN 47122 | 2007-05-07 |
1285706580 | William Thomas Steinwedel | Dentist | 7614 Sr 64, Suite B, Georgetown, IN 47122 | 2006-11-14 |
1942583281 | Teresa Lea Shaffer | Pharmacist | 6310 Forest Grove Dr Ne, Georgetown, IN 47122-7764 | 2011-09-22 |
1164553004 | Tonja F Foster | Physical Therapist | 3108 Brazil Lake Pkwy, Georgetown, IN 47122-8602 | 2007-03-09 |
1710436613 | Rebecca Todd | Physical Therapist | 7105 Branden Dr, Georgetown, IN 47122-8612 | 2016-10-03 |
1912139593 | Mary Margaret Carnahan | Counselor | 7485 State Road 64, Georgetown, IN 47122-8735 | 2009-08-17 |
1093378978 | Peace for Life Counseling, LLC | Clinic/Center | 7485 State Road 64, Georgetown, IN 47122-8735 | 2019-04-17 |
1477603538 | Providence Self Sufficiency Ministries Inc | Community Based Residential Treatment Facility, Mental Illness | 8037 Unruh Dr, Georgetown, IN 47122-8759 | 2007-01-11 |
1740330364 | Providence Self Sufficiency Ministries | Private Vehicle | 8037 Unruh Dr, Georgetown, IN 47122-8759 | 2007-01-12 |
Find all providers in zip 47122 |
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 |
---|---|---|---|---|
1285243493 | Jeremy Johnson | Specialist/Technologist, Other | 1016 Winding Way Dr, Georgetown, TX 78628-5201 | 2020-07-24 |
1356997118 | Edgardo A Sequeira | Specialist/Technologist, Other | 121 Tuscany Dr, Georgetown, TX 78628-7066 | 2019-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932750056 | Brazzale Surgical Assisting LLC | Specialist/Technologist, Other | 1911 Huppenthal Dr, Schererville, IN 46375-3008 | 2019-09-20 |
1043868839 | Danielle Rekitzke | Specialist/Technologist, Other | 745 Hiawatha Ct, Lowell, IN 46356-1631 | 2019-08-27 |
1104392208 | Hassan Hanna | Specialist/Technologist, Other | 375 Kingsmill Dr, Chesterton, IN 46304-2266 | 2018-10-17 |
1568992055 | Ariel Patricia Brazzale | Specialist/Technologist, Other | 4936 Pheasant Ct, Schererville, IN 46375-3384 | 2017-06-15 |
1295275337 | Kristin Curtis | Specialist/Technologist, Other | 103 Taylors Way, North Liberty, IN 46554-9223 | 2017-03-07 |
1821536574 | Craig Cole | Specialist/Technologist, Other | 901 Somerset Ct, Sellersburg, IN 47172-2811 | 2017-02-02 |
1275075137 | Dusko Mirjanic | Specialist/Technologist, Other | 133 Holly Ln, Schererville, IN 46375-1177 | 2016-11-09 |
1447709118 | Christina L. Hope | Specialist/Technologist, Other | 8141 S Emerson Ave Suite A, Indianapolis, IN 46237-8560 | 2016-09-23 |
1811376494 | Jeremy Ingram | Specialist/Technologist, Other | 1806 Bono Rd Apt 16, New Albany, IN 47150-4680 | 2015-05-28 |
1861800195 | Audie Williams | Specialist/Technologist, Other | 438 W Clearwater Dr, Warsaw, IN 46582-7769 | 2014-07-30 |
Find all providers with the same taxonomy |
City | GEORGETOWN |
Zip Code | 47122 |
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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.