MR. JERRY L. MARSH (NPI# 1205258092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205258092 |
| Entity Type | Individual |
| Full Name | MR. JERRY L. MARSH |
| Credential | CST/CSFA |
| Practice Address |
9926 Orchard Grass Ct Charlotte NC 28278-7849 |
| Practice Telephone | 7047050973 |
| Practice Fax Number | 9254012990 |
| Mailing Telephone | 7047050973 |
| Mailing Fax Number | 9254012990 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |
| 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 |
146613 | NC | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275993123 | Jerry Marsh | Physical Therapist | 835 Sw 11th St, Newport, OR 97365-4802 | 2016-03-03 |
| Street Address |
9926 ORCHARD GRASS CT |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28278-7849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1245742279 | Ruby Home Healthcare, LLC | Home Health | 17202 Belmont Stakes Lane, Charlotte, NC 28278 | 2017-10-31 |
| 1962926287 | Limitless Little Learners | Community/Behavioral Health | 13909 Derby Farm Lane, Charlotte, NC 28278 | 2017-07-28 |
| 1497106694 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 4821 Berewick Town Center Dr, Charlotte, NC 28278 | 2016-06-29 |
| 1932574753 | Adrienne Forney | Counselor | 14923 Alyssa Faith Court, Charlotte, NC 28278 | 2015-12-04 |
| 1447620398 | Sherae Threatt Lattimore | Behavioral Analyst | 5614 Samuel Neel Rd, Charlotte, NC 28278 | 2015-10-05 |
| 1528340676 | Khyati Dhaval Shah | Pediatrics | 13557 Steelecroft Pkwy Ste 2200, Charlotte, NC 28278 | 2011-09-14 |
| 1184915043 | John Angelo Tenini | Internal Medicine | 13557 Steelecroft Pkwy Ste 1200, Charlotte, NC 28278 | 2011-04-27 |
| 1568612240 | Kim Marie Briden | Contractor | 13805 Appling Lane, Charlotte, NC 28278 | 2008-09-30 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| Find all providers in zip 28278 | ||||
| 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 |
|---|---|---|---|---|
| 1043508229 | John Creekmore | Specialist/Technologist, Other | 8000 Waterford Tide Loop, #2931, Charlotte, NC 28226 | 2011-07-21 |
| 1285809566 | Laura Hope Babec | Specialist/Technologist, Other | 309 S. Sharon Amity Rd, Charlotte, NC 28211 | 2008-04-28 |
| 1427472992 | Damien Huckleberry | Specialist/Technologist, Other | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2014-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932670569 | Alfredo Benarroch | Specialist/Technologist, Other | 6809 Jacobs Creek Cir, Fayetteville, NC 28306-4562 | 2018-12-07 |
| 1053658302 | James William Boyer | Specialist/Technologist, Other | 1768 Hwy 210, Hampstead, NC 28443 | 2013-01-07 |
| 1295003572 | Andre Scott Canipe | Specialist/Technologist, Other | 1829 E Marion St, Apt. 809, Shelby, NC 28152-6264 | 2011-12-01 |
| 1134394349 | Nathan Henry Adams | Specialist/Technologist, Other | 1217 Upper Brush Creek Rd, Fairview, NC 28730-9208 | 2008-04-29 |
| 1407025331 | Brian W Owens | Specialist/Technologist, Other | 540 Rockbridge Dr, Kernersville, NC 27284-6844 | 2008-02-25 |
| 1881202901 | Chantel Davis | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 1154949428 | Jerri Lynn Reed | Specialist/Technologist, Other | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2020-07-13 |
| 1447878178 | Tonya Lakeshia Washington | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-09 |
| 1124338991 | Annie A Rice | Specialist/Technologist, Other | 100 Victoria Rd, Asheville, NC 28801-4812 | 2010-10-14 |
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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.