MRS. KELLEY JO GOODELL (NPI# 1255590816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255590816 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY JO GOODELL |
| Credential | CST/FA |
| Practice Address |
44 Fields Pond Rd Orrington ME 04474-3333 |
| Practice Telephone | 2079913762 |
| Mailing Telephone | 2079913762 |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2008-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
44 FIELDS POND RD |
| City | ORRINGTON |
| State | ME |
| Zip Code | 04474-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790797496 | Town of Orrington | Ambulance | 14 Johnson Mill Rd, Orrington, ME 04474 | 2006-08-12 |
| 1043428576 | Orland Consolidated School | Day Training, Developmentally Disabled Services | 19 School St, Orrington, ME 04474 | 2007-05-18 |
| 1407064967 | Town of Orrington | Local Education Agency (LEA) | 19 School St, Orrington, ME 04474 | 2007-05-18 |
| 1104341585 | Heather L Sudik | Pharmacist | 21 Cardinal Dr, Orrington, ME 04474-3020 | 2017-08-07 |
| 1073547683 | Cynthia Lou Schumacher | Social Worker | 33 Roosevelt Ave, Orrington, ME 04474-3029 | 2006-07-10 |
| 1467683102 | Jennifer Beth Galvin Salisbury | Psychiatry & Neurology | 283 Dow Rd, Orrington, ME 04474-3539 | 2009-07-29 |
| 1891325809 | Northwoods Counseling Services | Clinic/Center | 283 Dow Rd, Orrington, ME 04474-3539 | 2020-01-17 |
| 1669839833 | Robert Peck | Nurse Anesthetist, Certified Registered | 365 Dow Rd, Orrington, ME 04474-3540 | 2016-01-19 |
| 1548427149 | Arthur E Schwarcz | Physical Therapist | 141 Mill Creek Rd, Orrington, ME 04474-3647 | 2008-05-21 |
| 1023316353 | Roland James Paulette | Technician | 37 Hillside Dr, Orrington, ME 04474-3809 | 2011-03-10 |
| Find all providers in zip 04474 | ||||
| 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 |
|---|---|---|---|---|
| 1487067930 | Oscar Manuel Martinez-sanchez | Specialist/Technologist, Other | 8 Railroad Ln, Holden, ME 04429-7273 | 2014-06-03 |
| 1225303928 | April Marie Kochis | Specialist/Technologist, Other | 1614 Greenfield Rd, Greenfield Twp, ME 04418-7024 | 2012-03-13 |
| 1619204815 | Frank Glover Jr. | Specialist/Technologist, Other | 18 Jesse Mill Rd, Otisfield, ME 04270-7218 | 2009-11-09 |
| 1881846079 | Stephen C Poulin | Specialist/Technologist, Other | 89 Fire Rd. 9, China, ME 04358 | 2008-10-21 |
| 1962671545 | Se Jong Park | Specialist/Technologist, Other | 51 Illsley St, Portland, ME 04103-5110 | 2008-02-27 |
| 1720444227 | Denis Russell Dauphinee | Specialist/Technologist, Other | 24 Main St, Bradley, ME 04411-5006 | 2016-01-13 |
| 1528310653 | Ian Michael Higgins | Specialist/Technologist, Other | 144 State St, Portland, ME 04101-3776 | 2012-10-13 |
| 1720315716 | Gloria J Hargreaves | Specialist/Technologist, Other | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2009-11-11 |
| 1598915118 | Jds Surgical Associates | Specialist/Technologist, Other | 73 Bald Hill Rd, New Gloucester, ME 04260-3222 | 2008-09-19 |
| 1760659940 | John William Cooper Jr. | Specialist/Technologist, Other | 10 High St, Suite 105, Lewiston, ME 04240-7653 | 2008-05-15 |
| Find all providers with the same taxonomy | ||||
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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.