BYRON JOHN BUNAL (NPI# 1013319342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013319342 |
| Entity Type | Individual |
| Full Name | BYRON JOHN BUNAL |
| Credential | CST |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124356050 |
| Mailing Telephone | 9124356050 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246Z00000X | Specialist/Technologist, Other | 152503 | Technologists, Technicians & Other Technical Service Providers | |
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
152503 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665393 | Christopher David Johnson | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31315 | 2016-08-28 |
| 1932505393 | Melissa Aschenbrenner | Specialist/Technologist, Other | 1061 Harmon Ave, Winn Army Community Hospital-dept. of Surgery, Fort Stewart, GA 31314-5641 | 2014-11-13 |
| 1669876298 | Joshua Emmick | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-10-10 |
| 1659773984 | Thomas Patrick Goodman | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-18 |
| 1568864890 | Christopher Thompson | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-18 |
| 1295137529 | Shane Cleveland | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-18 |
| 1104228436 | Terrell Aaron Jackson | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-18 |
| 1831591163 | Mc Rey Padua Formoso | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063964344 | Tawni Marley Smith | Specialist/Technologist, Other | 135 N Hill St, Griffin, GA 30223-3326 | 2016-11-02 |
| 1205252285 | Surgichoice Surgical Assistants LLC | Specialist/Technologist, Other | 6522 Carriage Ln, Stone Mountain, GA 30087-4642 | 2014-03-13 |
| 1619314044 | George Gregory Mccoy II | Specialist/Technologist, Other | 4618 Joseph Eli Dr, Snellville, GA 30039-7139 | 2013-05-24 |
| 1740626381 | Yulonda Tate | Specialist/Technologist, Other | 664 Willow Bend Dr, Jonesboro, GA 30238-5982 | 2013-05-21 |
| 1811233794 | Mark Shannon Thomas | Specialist/Technologist, Other | 2124 Fountain Sq, Snellville, GA 30078-3196 | 2012-12-20 |
| 1841565876 | Kimberly Ann Washburn | Specialist/Technologist, Other | 220 Lamar Smith Dr, Newnan, GA 30263-4086 | 2012-03-08 |
| 1255604963 | Reginald D Williams Sr. | Specialist/Technologist, Other | 440 Pinevale Ct, College Park, GA 30349-7987 | 2012-02-13 |
| 1760753776 | Bheem Persaud | Specialist/Technologist, Other | 811 Evergreen Dr, Monroe, GA 30655-7354 | 2012-01-23 |
| 1164700415 | Mark E Loiselle | Specialist/Technologist, Other | 2780 Still Lake Dr, Acworth, GA 30102-1183 | 2011-08-03 |
| 1073819066 | Angelia Brown | Specialist/Technologist, Other | 848 Biltmore Ct, Lithonia, GA 30058-6747 | 2011-02-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
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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.