MICHELLE LYNN GORTON (NPI# 1245518000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245518000 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN GORTON |
| Credential | CST |
| Practice Address |
2500 W A St Suite 201 Moscow ID 83843-6000 |
| Practice Telephone | 2088832828 |
| Practice Fax Number | 2088822179 |
| Mailing Telephone | 2088832828 |
| Mailing Fax Number | 2088822179 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
ST00003279 | WA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LICENSE | ST00003279 | 01 |
| Street Address |
2500 W A ST SUITE 201 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760492656 | Charles A Jacobson | Orthopaedic Surgery | 2500 W A St, Suite 201, Moscow, ID 83843-5065 | 2006-08-09 |
| 1013359546 | Julia W Cheng | Audiologist | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2013-07-25 |
| 1558503581 | Sheri Danielle Erwin | Nurse Practitioner | 2500 W A St, Moscow, ID 83843-6000 | 2009-04-06 |
| 1720227010 | Katherine Michele Baughman Gleason | Optometrist | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2009-02-11 |
| 1598929796 | Shawn Charles Richards | Ophthalmology | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2008-07-16 |
| 1144376617 | Charles A Jacobson Md | Orthopaedic Surgery | 2500 W A St, Suite 201, Moscow, ID 83843-6000 | 2007-01-26 |
| 1043379944 | David Bryan Leach | Ophthalmology | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2006-12-06 |
| 1407915325 | Clearview Eye Clinic Ltd | Optometrist | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2006-12-06 |
| 1407921950 | Monty J Boydston | Specialist/Technologist, Other | 2500 W A St, Suite 201, Moscow, ID 83843-6000 | 2006-11-21 |
| 1740290642 | Steven E Pennington | Orthopaedic Surgery | 2500 W A St, Suite 201, Moscow, ID 83843-5065 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194058891 | Michael K Seelye | Specialist/Technologist, Other | 623 S Main St Ste 6, Moscow, ID 83843-2983 | 2009-09-12 |
| 1730254285 | Jay T Thiemann | Specialist/Technologist, Other | 623 S Main St, Suite 6, Moscow, ID 83843-2983 | 2006-11-21 |
| 1407921950 | Monty J Boydston | Specialist/Technologist, Other | 2500 W A St, Suite 201, Moscow, ID 83843-6000 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376999086 | Kelley White | Specialist/Technologist, Other | 445 N Johnson Ave, Pocatello, ID 83204-3021 | 2016-05-11 |
| 1174925135 | Heather Anderson | Specialist/Technologist, Other | 1736 S Millenium Way, Meridian, ID 83642-1511 | 2014-09-22 |
| 1558668046 | Hilda Alberta Turman | Specialist/Technologist, Other | 355 Nw Carrie Cir, Mountain Home, ID 83647-5673 | 2011-02-17 |
| 1518279033 | Ginger Leigh Matkin | Specialist/Technologist, Other | 4112 E Jasmine Ct, Nampa, ID 83687-7526 | 2010-07-13 |
| 1548460959 | James Edward Knox | Specialist/Technologist, Other | 2147 E 200 N, Saint Anthony, ID 83445-5600 | 2007-07-23 |
| 1871614404 | Lee Ann Hart | Specialist/Technologist, Other | 900 N Liberty St Ste 400, Boise, ID 83704-8707 | 2007-04-02 |
| 1578691036 | Kelli Jean Cornwall | Specialist/Technologist, Other | 6140 Curtisian Ave Ste 102, Boise, ID 83704-0109 | 2007-02-28 |
| 1770622946 | Nancy M Coonan | Specialist/Technologist, Other | 901 N Curtis Rd Ste 104, Boise, ID 83706-1339 | 2007-02-05 |
| 1497818983 | Patricia A Wunder | Specialist/Technologist, Other | 3011 S Tagish Way, Meridian, ID 83642-9157 | 2006-12-18 |
| 1114089364 | Claudia D White | Specialist/Technologist, Other | 4907 Joe Ln, Nampa, ID 83687-8701 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHELLE LYNN GORTON.
| 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.