MARY B. LUBERDA


Address: 143 Acreview Dr, De Pere, WI 54115-3655
Phone: 9204964700

MARY B. LUBERDA (NPI# 1952625642) 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) 1952625642
Entity Type Individual
Full Name MARY B. LUBERDA
Other Name BOBBI LUBERDA
Credential CST
Practice Address 143 Acreview Dr
De Pere
WI 54115-3655
Mailing Address Po Box 19070
Green Bay
WI 54307-9070
Practice Telephone 9204964700
Mailing Telephone 9204964700
Enumeration Date 2010-03-24
Last Update Date 2010-03-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZS0410X Specialist/Technologist, Other
Specialization: Surgical Technologist
Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CERTIFIED SURGICAL TECHNOLOGIST 075288 01

Office Location

Street Address 143 ACREVIEW DR
City DE PERE
State WI
Zip Code 54115-3655

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871138073 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 723 Main Ave, Depere, WI 54115 2019-11-12
1568928083 Stephanie J Towle Speech-Language Pathologist 200 S. 9th St, De Pere, WI 54115 2019-02-20
1164988499 Maribel L Zoeller Physical Therapy Assistant 200 S. 9th Street, Depere, WI 54115 2019-02-12
1255897641 Elizabeth Eberius Acupuncturist 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 2019-02-11
1548750458 Jordyn E Arndt Physical Therapist 1601 Lawrence Dr Ste 100, De Pere, WI 54115 2018-05-16
1588153514 David Nowakowski Registered Nurse 158 Cavil Way, De Pere, WI 54115 2018-05-04
1457858557 Rennes Assisted Living Corp. Assisted Living Facility 1150 Lois Street, Depere, WI 54115 2018-04-06
1518473966 Kirsten Lynne Masrelian Behavioral Analyst 2073 Lawrence Dr, De Pere, WI 54115 2017-12-21
1285146050 Sydney Marie Schultz Physical Medicine & Rehabilitation 200 S. Ninth Street, De Pere, WI 54115 2017-11-01
1134666514 Nicole L Bickham Psychologist 416 George St Ste 108, De Pere, WI 54115 2017-01-24
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Taxonomy Information

Taxonomy Code 246ZS0410X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Technologist

Taxonomy Definition

Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures.
Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447731161 Shannon Lori Marohl Specialist/Technologist, Other 1818 N Meade St # 240, Appleton, WI 54911-3454 2018-08-22
1780178137 Dana Schmidt Specialist/Technologist, Other 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 2018-06-19
1679950315 Donnie Henderson Specialist/Technologist, Other 733 Copernicus Way, Madison, WI 53718-3098 2015-05-01
1922349935 Rebecca Joan Kiekhoefer Specialist/Technologist, Other 416 S Lincoln Dr, Howards Grove, WI 53083-1243 2013-03-15
1952648222 Kh Surgical Assisting, LLC Specialist/Technologist, Other N115w20014 N Woodland Dr., Germantown, WI 53022-2926 2013-01-07
1184983421 Conrad Christopher Botz II Specialist/Technologist, Other 1357 Pheasant Run, New Richmond, WI 54017-4501 2012-05-07
1457504110 Jason D. Schillinger Specialist/Technologist, Other 5200 Humingbird Road, Suite 100, Wausau, WI 54401 2008-10-28
1558344663 Rhonda Catherine Mayne Specialist/Technologist, Other 833 S Iowa St, Suite 104, Dodgeville, WI 53533-1900 2005-11-22
1093370363 Janene M Ray Specialist/Technologist, Other 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 2019-05-02
1548744329 Tammy Lynn Ebben Specialist/Technologist, Other 1818 N Meade St, Appleton, WI 54911-3454 2018-09-18
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Competitor

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City DE PERE
Zip Code 54115

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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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