ANFERNEE JEROME WALKER (NPI# 1215579982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215579982 |
| Entity Type | Individual |
| Full Name | ANFERNEE JEROME WALKER |
| Credential | CSA |
| Practice Address |
990 Thousand Oaks Dr Lawrenceville GA 30043-3123 |
| Practice Telephone | 4702622848 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2020-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
5026 | GA | Technologists, Technicians & Other Technical Service Providers |
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
990 THOUSAND OAKS DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
| 1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
| 1285158857 | Baker Surgical Services | Specialist/Technologist, Other | 344 Oaktown Pl, Lawrenceville, GA 30044-3864 | 2017-07-26 |
| 1639606734 | Rakhman Eshov | Specialist/Technologist, Other | 1585 Southern Oaks Cv, Lawrenceville, GA 30043-3050 | 2017-05-19 |
| 1124578943 | Nhora Santiago-gamboa | Specialist/Technologist, Other | 1826 Jameson Cir, Lawrenceville, GA 30043-2757 | 2016-10-05 |
| 1386024941 | Davidetta Freeman | Specialist/Technologist, Other | 1473 Alamein Dr, Lawrenceville, GA 30046-2862 | 2015-06-08 |
| 1972884229 | Atlanta Surgical Assistant,llc. | Specialist/Technologist, Other | 1840 Angus Lee Dr, Lawrenceville, GA 30045-2764 | 2011-08-31 |
| 1427170687 | Leon Hughes Jr. | Specialist/Technologist, Other | 1270 Chris Lake Drive, Lawrenceville, GA 30046 | 2007-04-06 |
| 1235628256 | Mm Surgical Services, LLC | Specialist/Technologist, Other | 930 New Hope Rd, Suite 11-526, Lawrenceville, GA 30045 | 2018-05-04 |
| 1336636679 | Minela Mahmutovic | Specialist/Technologist, Other | 930 New Hope Rd, Suite 11-526, Lawrenceville, GA 30045 | 2018-04-20 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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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.