MRS. ILIANA DIAZ HAWKINS (NPI# 1962722041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962722041 |
| Entity Type | Individual |
| Full Name | MRS. ILIANA DIAZ HAWKINS |
| Credential | CSA |
| Practice Address |
3450 Acworth Due West Rd Nw Bldg 200 Ste 220 Kennesaw GA 30144-1001 |
| Practice Telephone | 7707946643 |
| Practice Fax Number | 7707946683 |
| Mailing Telephone | 7707946643 |
| Mailing Fax Number | 7707946683 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2016-09-27 |
| 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 |
3395 | VA | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
3395 | VA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3450 ACWORTH DUE WEST RD NW BLDG 200 STE 220 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501100 | Orthosport Physical Therapy LLC | Clinic/Center | 3450 Acworth Due West Rd Nw, Suite 310, Kennesaw, GA 30144 | 2006-01-09 |
| 1306392287 | Justin D Howe | Physical Therapist | 3450 Acworth Due West Rd Nw, Kennesaw, GA 30144-1001 | 2016-08-30 |
| 1902213432 | Cobblestone Surgery Center, Inc. | Clinic/Center | 3450 Acworth Due West Rd Nw, Bldg. 200, Suite 100, Kennesaw, GA 30144-1078 | 2014-07-16 |
| 1275951642 | Rebecca Carrie Eisen | Physical Therapist | 3450 Acworth Due West Rd Nw, Kennesaw, GA 30144-1001 | 2014-04-02 |
| 1073859302 | Laura Hecht | Physical Therapist | 3450 Acworth Due West Rd Nw, Suite 310, Kennesaw, GA 30144-1001 | 2012-12-13 |
| 1932486131 | Wellstar Health Ventures, LLC | Clinic/Center | 3450 Acworth Due West Rd Nw, Kennesaw, GA 30144-1001 | 2011-11-16 |
| 1750670881 | Elizabeth Oswald | Physical Therapist | 3450 Acworth Due West Rd Nw, Kennesaw, GA 30144-1001 | 2011-03-29 |
| 1205143278 | Miller Foot & Ankle Healthcare Inc | Podiatrist | 3450 Acworth Due West Rd Nw, Suite 320, Kennesaw, GA 30144-1001 | 2010-09-10 |
| 1922296029 | Judith Niehuser Chmiel | Physical Therapist | 3450 Acworth Due West Rd Nw, Suite 310, Kennesaw, GA 30144-1001 | 2007-10-15 |
| 1780884882 | Melanie Rachel Thomason | Physical Therapist | 3450 Acworth Due West Rd Nw, Bldg 300, Suite 310, Kennesaw, GA 30144-1001 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| 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 |
|---|---|---|---|---|
| 1942818422 | Lisa M Arey | Specialist/Technologist, Other | 2429 Salem Ct Sw, Marietta, GA 30064-4259 | 2020-07-21 |
| 1457972309 | Shanon Marie Roderick | Specialist/Technologist, Other | 115 Bradford Ct, Savannah, GA 31406-4122 | 2020-05-01 |
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
| 1003448911 | Kirstin Gabler | Specialist/Technologist, Other | 2119 Wilshire Dr Sw, Marietta, GA 30064-4197 | 2020-02-08 |
| 1982244257 | Chad Seawright | Specialist/Technologist, Other | 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887 | 2020-01-14 |
| 1952948945 | Haley Johnson | Specialist/Technologist, Other | 619 Minter Rd, Griffin, GA 30223-5635 | 2019-12-09 |
| 1215579982 | Anfernee Jerome Walker | Specialist/Technologist, Other | 990 Thousand Oaks Dr, Lawrenceville, GA 30043-3123 | 2019-10-14 |
| 1043852197 | James Hoffman | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2019-10-10 |
| 1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
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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.