JERMAINE TAYLOR (NPI# 1154707040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154707040 |
| Entity Type | Individual |
| Full Name | JERMAINE TAYLOR |
| Credential | CSFA |
| Practice Address |
4147 E Stony Meadow Dr Tucson AZ 85756-3077 |
| Mailing Address |
Po Box 2550 Rowlett TX 75030-2550 |
| Practice Telephone | 2142272457 |
| Practice Fax Number | 2147640880 |
| Mailing Telephone | 2142272457 |
| Mailing Fax Number | 2147640880 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
164858 | AZ | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4147 E STONY MEADOW DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85756-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598121 | Smsj Tucson Holdings LLC | General Acute Care Hospital | 7401 S Wilmot Rd, Tucson, AZ 85756 | 2020-11-03 |
| 1588154447 | Patrick Thurman | Counselor | 7612 E Autumn Leaf Dr, Tucson, AZ 85756 | 2018-05-16 |
| 1215316120 | Carlos Godoy | Contractor | 6108 E Bramble St, Tucson, AZ 85756 | 2015-05-26 |
| 1023388279 | Julie Marie Shute | Nurse Practitioner | 10000 S Wimot Rd, Tucson, AZ 85756 | 2012-01-05 |
| 1710267968 | Pneuma House | Community Based Residential Treatment Facility, Mental Illness | 4035 E Stony Meadow Drive, Tucson, AZ 85756 | 2011-08-19 |
| 1629305495 | Azi House LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6914 S Bittercress Rd, Tucson, AZ 85756 | 2009-11-15 |
| 1477162469 | Sarah Shellhouse | Respite Care | 4035 E Stony Meadow Dr, Tucson, AZ 85756-3076 | 2020-07-27 |
| 1952868127 | M. Cristina Rivera Figueroa | Behavior Technician | 4251 E Shadow Branch Dr, Tucson, AZ 85756-3093 | 2019-02-25 |
| 1548817497 | Christus Group Home | Community Based Residential Treatment Facility, Mental Illness | 6986 S Red Maids Dr, Tucson, AZ 85756-5100 | 2019-08-23 |
| 1770194557 | Best Care Behavioral Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 6986 S Red Maids Dr, Tucson, AZ 85756-5100 | 2020-08-13 |
| Find all providers in zip 85756 | ||||
| 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 |
|---|---|---|---|---|
| 1437786282 | Allied Peri-op Consulting and Education,llc | Specialist/Technologist, Other | 4237 E 24th St, Tucson, AZ 85711-5659 | 2020-03-23 |
| 1154877892 | John Fitzgerald Chandler Sr. | Specialist/Technologist, Other | 5751 N. Kolb Rd. Unit 7108, Tucson, AZ 85750-0872 | 2016-09-01 |
| 1497123111 | Armando Corrales | Specialist/Technologist, Other | 2240 W Floral Cliff Way, Tucson, AZ 85741-3886 | 2015-09-11 |
| 1790183309 | Corey Cordell Hinton | Specialist/Technologist, Other | 3205 W Cortaro Farms Rd Unit 97, Tucson, AZ 85742-1214 | 2014-12-12 |
| 1396153086 | Carly Heft | Specialist/Technologist, Other | 5363 N Sabino Canyon Rd #11, Tucson, AZ 85750-7089 | 2014-07-26 |
| 1649691288 | Tina Gowan | Specialist/Technologist, Other | 6324 N Camino Hermosillo, Tucson, AZ 85718-3533 | 2013-12-29 |
| 1669721148 | Roman G Canedo | Specialist/Technologist, Other | 2560 W Magee Rd, Tucson, AZ 85742-4335 | 2012-08-30 |
| 1932479284 | Shawn Smith | Specialist/Technologist, Other | 3202 W Calle Cereza, Tucson, AZ 85741-2927 | 2012-01-04 |
| 1427327048 | Mark More | Specialist/Technologist, Other | 7765 W Summer Sky Dr, Tucson, AZ 85743-1102 | 2011-12-28 |
| 1760711923 | Enrique Romero | Specialist/Technologist, Other | 10339 E Cowhead Saddle Ln, Tucson, AZ 85748 | 2009-12-17 |
| Find all providers in TUCSON | ||||
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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.