MICHAEL HUMISTON (NPI# 1225568686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225568686 |
| Entity Type | Individual |
| Full Name | MICHAEL HUMISTON |
| Practice Address |
2700 E Broad St Mansfield TX 76063-5899 |
| Mailing Address |
7802 Fox Chase Dr Arlington TX 76001-2908 |
| Practice Telephone | 6826222000 |
| Mailing Telephone | 8175386851 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| 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 |
175048 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2700 E BROAD ST |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-5899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689629941 | Methodist Hospitals of Dallas | General Acute Care Hospital | 2700 E Broad St, Mansfield, TX 76063-5899 | 2006-05-24 |
| 1609480466 | Caine Salazar | Specialist/Technologist, Other | 2700 E Broad St, Mansfield, TX 76063-5899 | 2020-08-31 |
| 1316472947 | Kelsey Christine English | Emergency Medicine | 2700 E Broad St, Mansfield, TX 76063-5899 | 2017-04-20 |
| 1588035976 | Shane M Tackitt | Internal Medicine | 2700 E Broad St, Mansfield, TX 76063-5899 | 2015-10-12 |
| 1861747115 | David Giovanni Minna | Internal Medicine | 2700 E Broad St, Mansfield, TX 76063-5899 | 2012-07-23 |
| 1518237429 | Lonestar Hospital Medicine Associates, Pa | Emergency Medicine | 2700 E Broad St, Mansfield, TX 76063-5899 | 2012-01-09 |
| 1598041881 | Kathy J Thompson | Nurse Practitioner | 2700 E Broad St, Mansfield, TX 76063-5899 | 2011-10-31 |
| 1528358025 | Alan L Blankenship Jr. | Emergency Medicine | 2700 E Broad St, Mansfield, TX 76063 | 2011-04-18 |
| 1073803938 | Hospitalist Partners of Excellence In Mansfield (h.o.p.e), Pa | Hospitalist | 2700 E Broad St, Mansfield, TX 76063-5899 | 2011-04-12 |
| 1770891343 | Emily Forbes | Nurse Practitioner | 2700 E Broad St, Mansfield, TX 76063-5899 | 2010-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| 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 |
|---|---|---|---|---|
| 1144650250 | Amy Lynn Fenrick | Specialist/Technologist, Other | 4308 Lone Oak Dr, Mansfield, TX 76063-5566 | 2013-11-26 |
| 1124256946 | Kevin Denard Sanders Sr. | Specialist/Technologist, Other | 603 Cross Meadow Blvd, Mansfield, TX 76063-8696 | 2009-07-01 |
| 1619129657 | Daniel D Wright | Specialist/Technologist, Other | 751 N Main St Apt 3318, Mansfield, TX 76063-2773 | 2008-10-22 |
| 1609480466 | Caine Salazar | Specialist/Technologist, Other | 2700 E Broad St, Mansfield, TX 76063-5899 | 2020-08-31 |
| 1659996114 | Laguna Azul Unlimited LLC | Specialist/Technologist, Other | 751 N Main St Apt 3318, Mansfield, TX 76063-2773 | 2020-06-10 |
| 1295271682 | Dfw Licensed Assistant, LLC | Specialist/Technologist, Other | 4 Rockland Ct, Mansfield, TX 76063-5006 | 2017-01-10 |
| 1922237239 | Asd Surgical Services | Specialist/Technologist, Other | 4807 San Remo Dr, Mansfield, TX 76063-8643 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366791 | Erich Wittmer | Specialist/Technologist, Other | 2301 Links Dr, Edinburg, TX 78542-4542 | 2020-11-04 |
| 1366043705 | Patricia Vincenty-marquez | Specialist/Technologist, Other | 11308 Culberson Dr, Aubrey, TX 76227-8050 | 2020-11-03 |
| 1992306492 | Jennifer Suzanne Tatsch-gleason | Specialist/Technologist, Other | 7700 Floyd Curl Dr., San Antonio, TX 78229-3902 | 2020-11-03 |
| 1881294866 | Cynthia Alonzo | Specialist/Technologist, Other | 3800 Gaylord Pkwy Ste 410, Frisco, TX 75034-9419 | 2020-10-28 |
| 1356941652 | Synergistic Surgical Assistant | Specialist/Technologist, Other | 7414 Brookport, San Antonio, TX 78238-3528 | 2020-10-27 |
| 1225636103 | Daniel Martin Cornejo Navarro | Specialist/Technologist, Other | 25157 Resaca Santa Dr, San Benito, TX 78586-8889 | 2020-10-13 |
| 1497353593 | Jose De Jesus Alvarado Veloz | Specialist/Technologist, Other | 216 Mango Rd, El Paso, TX 79915-4314 | 2020-10-12 |
| 1639777824 | Eli Andres Pineda Faria | Specialist/Technologist, Other | 2218 Greenhouse Rd Apt 3224, Houston, TX 77084-7960 | 2020-10-11 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1871100735 | Helpinghandsbyterri, LLC | Specialist/Technologist, Other | 4050 Mcewen Rd Apt 18102, Dallas, TX 75244-5458 | 2020-09-24 |
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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.