MS. KELLI J GOOLD


Address: 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880
Phone: 2083673500

MS. KELLI J GOOLD (NPI# 1154489110) 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) 1154489110
Entity Type Individual
Full Name MS. KELLI J GOOLD
Credential CFA
Practice Address 6140 Curtisian Ave
Ste 400
Boise
ID 83704-8880
Practice Telephone 2083673500
Practice Fax Number 2083672968
Mailing Telephone 2083673500
Mailing Fax Number 2083672968
Enumeration Date 2006-12-04
Last Update Date 2007-10-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
97822 ID Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID REGENCE BLUE SHIELD OF ID 000010155890 01
ID BLUE CROSS OF ID SA016 01

Office Location

Street Address 6140 CURTISIAN AVE
STE 400
City BOISE
State ID
Zip Code 83704-8880

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407814411 Frederick R. Badke Internal Medicine 6140 Curtisian Ave, Suite 200, Boise, ID 83704-8880 2006-05-02
1043480445 Jessica Garner Specialist/Technologist, Other 6140 Curtisian Ave, Boise, ID 83704-8880 2008-03-03
1457545691 Idaho Heart Care Internal Medicine 6140 Curtisian Ave, Suite 200, Boise, ID 83704-8880 2007-08-30
1598968232 Lauren A Musheno Specialist/Technologist, Other 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880 2007-06-08
1942330204 Timothy J Johans, Md Neurological Surgery 6140 Curtisian Ave, Suite 400, Boise, ID 83704-8880 2007-03-06
1730219072 Paul J Montalbano Md Neurological Surgery 6140 Curtisian Ave, Suite 400, Boise, ID 83704-8880 2007-03-06
1801973615 Charisse L Mack Physician Assistant 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880 2006-11-01
1033292644 Alan G Upchurch Specialist/Technologist, Other 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880 2006-10-24
1760584346 Stephanie M Hilpert Nurse Practitioner 6140 Curtisian Ave, Suite 400, Boise, ID 83704-8880 2006-09-02
1861501637 Thomas Crellin Manning Neurological Surgery 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880 2006-08-29
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1053960286 Kyle Hiromi Hatanaka Acupuncturist 9450 #120 Fairview Avenue, Boise, ID 83704 2019-09-10
1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
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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
1578826194 Treasure Valley Surgical Assistants Specialist/Technologist, Other 128 Peasley St, Boise, ID 83705-1641 2012-06-19
1578078465 Heather Berger Specialist/Technologist, Other 1075 N Curtis Rd Ste 101, Boise, ID 83706-1348 2017-12-13
1609058197 Robyn L Anderson Specialist/Technologist, Other 1075 N Curtis Rd, Suite 300, Boise, ID 83706-1300 2007-11-27
1033292644 Alan G Upchurch Specialist/Technologist, Other 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880 2006-10-24

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NPI Name Taxonomy Address Enumeration
1497226377 Linda Krystle Morales Overton Specialist/Technologist, Other 1828 S Millenium Way Ste 100, Meridian, ID 83642-5036 2018-12-17
1669978516 Terra Lee Lawson-gilbert Specialist/Technologist, Other 10081 N Government Way, Hayden, ID 83835-9677 2018-03-31
1841663507 Samantha Molbert Specialist/Technologist, Other 1435 Scorpius Dr, Idaho Falls, ID 83402-1805 2015-11-03
1104205962 Mary Parsons Specialist/Technologist, Other 590 W Two Rivers Dr, Eagle, ID 83616-7121 2015-05-27
1770865495 Heidi Davies Specialist/Technologist, Other 121 E Victory Rd, Apt L203, Meridian, ID 83642-6633 2011-09-20
1720315823 Anna's Assisting PC Specialist/Technologist, Other 4401 E Tuscany Ave, Nampa, ID 83686-5082 2009-11-10
1740346188 Vera Pauline Thomas Specialist/Technologist, Other 240 S Delphinium Ave, Star, ID 83669-5275 2006-12-29
1184110827 Kristine Renae Allen Specialist/Technologist, Other 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2018-07-05
1639667900 Ronald Allen Bristow Specialist/Technologist, Other 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2018-04-23
1326541079 Alison Stenson Specialist/Technologist, Other 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2018-03-08
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Competitor

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City BOISE
Zip Code 83704

Improve Information

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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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