DENISE DARLENE VICKERS (NPI# 1275054017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275054017 |
| Entity Type | Individual |
| Full Name | DENISE DARLENE VICKERS |
| Credential | SA-C/CST |
| Practice Address |
2830 Calder St Beaumont TX 77702-1809 |
| Mailing Address |
12208 Garner Rd Beaumont TX 77705-7574 |
| Practice Telephone | 4098997280 |
| Mailing Telephone | 4096797128 |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2017-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
16-647 | WI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2830 CALDER ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679557888 | Christus Health Southeast Texas | Nurse Anesthetist, Certified Registered | 2830 Calder St, Administration, Beaumont, TX 77702-1809 | 2005-12-01 |
| 1568089951 | Karen Elizondo | Radiology | 2830 Calder St, Beaumont, TX 77702-1809 | 2020-07-01 |
| 1043839624 | Ashley Lynn Billot | Nurse Anesthetist, Certified Registered | 2830 Calder St, Beaumont, TX 77702-1809 | 2020-04-13 |
| 1992324586 | Alyssa Baker | Nurse Practitioner | 2830 Calder St, Beaumont, TX 77702-1809 | 2020-04-13 |
| 1861027047 | Joyce Cialona | Technician, Other | 2830 Calder St, Beaumont, TX 77702-1809 | 2020-03-08 |
| 1033749585 | John Paul Flanagan II | Registered Nurse | 2830 Calder St, Beaumont, TX 77702-1809 | 2020-01-23 |
| 1659917854 | Hospitalist Medicine Physicians of Texas - Fort Worth, Pllc | Internal Medicine | 2830 Calder St, Beaumont, TX 77702-1809 | 2019-11-22 |
| 1083265052 | Hari Krishna Reddy Pandi | Registered Nurse | 2830 Calder St, Beaumont, TX 77702-1809 | 2019-09-21 |
| 1639659212 | Dawn Polk | Nurse Practitioner | 2830 Calder St, Beaumont, TX 77702-1809 | 2018-08-14 |
| 1518475557 | Sound Physicians Emergency Medicine of Texas Pllc | Emergency Medicine | 2830 Calder St, Beaumont, TX 77702-1809 | 2018-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| 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 |
|---|---|---|---|---|
| 1245550482 | Aimee Cantu Savage | Specialist/Technologist, Other | 1380 Sheridan Ln, Beaumont, TX 77706-3311 | 2010-06-10 |
| 1053808758 | Leah Coleman | Specialist/Technologist, Other | 3480 College St, Beaumont, TX 77701 | 2018-04-18 |
| 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.