SHELLEY RAE SHADE (NPI# 1932750478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932750478 |
| Entity Type | Individual |
| Full Name | SHELLEY RAE SHADE |
| Credential | CSFA |
| Practice Address |
7777 Yankee Rd Liberty Township OH 45044-3500 |
| Practice Telephone | 5138039600 |
| Mailing Telephone | 5138039600 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
7777 YANKEE RD |
| City | LIBERTY TOWNSHIP |
| State | OH |
| Zip Code | 45044-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144299843 | Shane E Dulemba | Nurse Practitioner | 7777 Yankee Rd, Psychiatry - Liberty Campus Ml 16066, Liberty Township, OH 45044-3500 | 2006-03-15 |
| 1669097184 | Michael Dee Anthony Evans | Surgery | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2020-06-10 |
| 1023649241 | Jennifer Macrae | Nurse Practitioner | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2020-01-27 |
| 1053954701 | Rocio Denise Atarama | Dietitian, Registered | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-10-25 |
| 1407497464 | Shannon R Bough | Specialist/Technologist, Other | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-10-01 |
| 1003471087 | Melanie Norman Romaine-jongewaard | Speech-Language Pathologist | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-05-06 |
| 1285197491 | Danielle Fohl | Nurse Practitioner | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-04-14 |
| 1386025039 | Children's Hospital Medical Center | Pharmacy | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2015-06-17 |
| 1184029894 | Jodi Melinda Kelley | Nurse Practitioner | 7777 Yankee Rd, Ml 16026, Liberty Township, OH 45044-3500 | 2014-10-24 |
| 1811326952 | Amy Michelle Grosnik | Audiologist | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| 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 |
|---|---|---|---|---|
| 1407497464 | Shannon R Bough | Specialist/Technologist, Other | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547611 | Lizdany Cuello Dominguez | Specialist/Technologist, Other | 12212 Larchmere Blvd, Cleveland, OH 44120-1102 | 2020-01-22 |
| 1841840782 | Megan Ann Williams | Specialist/Technologist, Other | 6666 Helm Ave, Reynoldsburg, OH 43068-1620 | 2019-09-12 |
| 1881181154 | Hemantkumar Khushaldas Patel | Specialist/Technologist, Other | 344 Riverwind Dr, Marysville, OH 43040-9369 | 2018-04-22 |
| 1912444787 | Mendi Smith | Specialist/Technologist, Other | 4562 Cotton Run Rd, Hamilton, OH 45011-9656 | 2017-01-31 |
| 1861942179 | David Kallay | Specialist/Technologist, Other | 720 Village Pkwy, Waterville, OH 43566-1368 | 2016-10-11 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1376910711 | Jamie Williams | Specialist/Technologist, Other | 28466 Elder Dr, North Olmsted, OH 44070-5126 | 2015-09-01 |
| 1104242684 | Jennifer Ross | Specialist/Technologist, Other | 6082 Stoney Ridge Rd, North Ridgeville, OH 44039-1215 | 2014-03-09 |
| 1841615788 | Kathleen Volpe | Specialist/Technologist, Other | 374 Olde Mill Dr, Westerville, OH 43082-1024 | 2014-03-02 |
| 1245651967 | Edwin C Carandang | Specialist/Technologist, Other | 777 Glantz Dr, Lorain, OH 44055-3043 | 2013-12-23 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTY TOWNSHIP |
| Zip Code | 45044 |
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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.