FATIMA NEZIREVIC (NPI# 1154964617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154964617 |
| Entity Type | Individual |
| Full Name | FATIMA NEZIREVIC |
| Credential | KCSA |
| Practice Address |
1945 Scottsville Rd B2 Pmb 397 Bowling Green KY 42104 |
| Practice Telephone | 2707814828 |
| Mailing Telephone | 2707814828 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA343 | KY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1945 SCOTTSVILLE RD B2 PMB 397 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| 1386062529 | Roger Gibson | Pharmacist | 1676 Westpark Dr, Bowling Green, KY 42104 | 2014-04-04 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1982143855 | Sherry L Wells | Specialist/Technologist, Other | 3260 Spring Hollow Ave Apt 1, Bowling Green, KY 42104-6371 | 2017-02-13 |
| 1770960627 | Aaron Morris | Specialist/Technologist, Other | 1725 Ashley Cir Ste 212, Bowling Green, KY 42104-5820 | 2015-04-29 |
| 1982176848 | Carla Marsh | Specialist/Technologist, Other | 1945 Scottsville Rd, Bowling Green, KY 42104-3376 | 2018-12-17 |
| 1154833374 | John S Napier | Specialist/Technologist, Other | 1945 Scottsville Rd, Bowling Green, KY 42104-3376 | 2017-10-27 |
| 1962936872 | Megan Carroll | Specialist/Technologist, Other | 1945 Scottsville Rd, B2 Pmb 137, Bowling Green, KY 42104-3376 | 2017-04-18 |
| 1417304304 | Stacy Kirby | Specialist/Technologist, Other | 1945 Scottsville Rd, B2 Pmb 397, Bowling Green, KY 42104-3376 | 2016-05-20 |
| 1508271479 | Amy Carroll | Specialist/Technologist, Other | 250 Park St, Bowling Green, KY 42101-1760 | 2014-06-30 |
| 1588079461 | Philip Leszczewicz Jr. | Specialist/Technologist, Other | 250 Park St, Bowling Green, KY 42101-1760 | 2014-06-30 |
| 1962843136 | Ashley Cope | Specialist/Technologist, Other | 250 Park St, Bowling Green, KY 42101-1760 | 2013-07-16 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.