DUSTIN WAYNE JANZEN (NPI# 1164823712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164823712 |
| Entity Type | Individual |
| Full Name | DUSTIN WAYNE JANZEN |
| Credential | LSA |
| Practice Address |
8401 Datapoint Dr Ste 700 San Antonio TX 78229-5907 |
| Practice Telephone | 2104877463 |
| Practice Fax Number | 2104877468 |
| Mailing Telephone | 2104877463 |
| Mailing Fax Number | 2104877468 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA00555 | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NBSTSA BOARD CERTIFICATION | 154639 | 01 |
| TX | LSA LICENSE | SA00555 | 01 |
| TX | CERTIFICATION - OPA-C | 1234 | 01 |
| Street Address |
8401 DATAPOINT DR STE 700 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877851 | San Antonio Preventive & Diagnostic Medicine | Internal Medicine | 8401 Datapoint Dr, #401, San Antonio, TX 78229-5900 | 2005-08-09 |
| 1134726771 | Samantha Salinas | Nurse Practitioner | 8401 Datapoint Dr, San Antonio, TX 78229-5900 | 2020-10-06 |
| 1013384320 | Paul Chen | Physician Assistant | 8401 Datapoint Dr, Suite 700, San Antonio, TX 78229-5900 | 2015-08-24 |
| 1225461429 | Christine Marie Peterson | Nurse Practitioner | 8401 Datapoint Dr, Suite 865, San Antonio, TX 78229-5900 | 2013-08-12 |
| 1659710648 | Paula Lynn Montanaro | Nurse Practitioner | 8401 Datapoint Dr, Suite 865, San Antonio, TX 78229-5900 | 2013-06-23 |
| 1093158024 | Stephen Douglas Dooley | Radiology | 8401 Datapoint Dr, San Antonio, TX 78229-5900 | 2013-04-09 |
| 1366701567 | Brandon Childers | Radiology | 8401 Datapoint Dr, Ste 600, San Antonio, TX 78229 | 2012-05-08 |
| 1841597887 | Renee Hamilton | Emergency Medicine | 8401 Datapoint Dr, Ste 500, San Antonio, TX 78229-5907 | 2011-02-25 |
| 1346564408 | Kathleen Fanning Leibowitz | Nurse Practitioner | 8401 Datapoint Dr, Suite 500, San Antonio, TX 78229-5900 | 2010-03-18 |
| 1275867640 | Alexis N Johnson | Physician Assistant | 8401 Datapoint Dr, Suite 500, San Antonio, TX 78229-5900 | 2009-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| 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 |
|---|---|---|---|---|
| 1992306492 | Jennifer Suzanne Tatsch-gleason | Specialist/Technologist, Other | 7700 Floyd Curl Dr., San Antonio, TX 78229-3902 | 2020-11-03 |
| 1356941652 | Synergistic Surgical Assistant | Specialist/Technologist, Other | 7414 Brookport, San Antonio, TX 78238-3528 | 2020-10-27 |
| 1437761137 | Anna L Locke | Specialist/Technologist, Other | 134 Dunning Ave, San Antonio, TX 78210-2816 | 2020-08-24 |
| 1790307866 | Daniel Adrian Garcia | Specialist/Technologist, Other | 3710 Pipers Cross St, San Antonio, TX 78251-1610 | 2020-05-12 |
| 1912530593 | Jasmine N Rice | Specialist/Technologist, Other | 26730 Villa Toscana, San Antonio, TX 78260-2582 | 2020-02-21 |
| 1790317949 | Precision Surgery Partners,llc | Specialist/Technologist, Other | 10650 Culebra Rd Ste 104-280, San Antonio, TX 78251-4949 | 2020-02-05 |
| 1215593892 | Jorge Humberto Landa Jr. | Specialist/Technologist, Other | 20659 Stone Oak Pkwy Apt 1810, San Antonio, TX 78258-7534 | 2019-05-19 |
| 1760948129 | David Daniel Aleman | Specialist/Technologist, Other | 5370 Verbena Rd, San Antonio, TX 78240-1737 | 2019-02-11 |
| 1760955769 | Joshua Ramirez | Specialist/Technologist, Other | 827 Cormorant, San Antonio, TX 78245-1313 | 2019-01-02 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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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.