DERRIC RENTON


Address: 107 Tunnel Hill Rd, Georgetown, IN 47122-9131
Phone: 8129232050

DERRIC RENTON (NPI# 1922049568) 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) 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

Taxonomy

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

Office Location

Street Address 107 TUNNEL HILL RD
City GEORGETOWN
State IN
Zip Code 47122-9131

Providers in the same zip code

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
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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 city

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

Providers in the same taxonomy and state

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
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Competitor

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City GEORGETOWN
Zip Code 47122

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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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