SARA O'DONNELL (NPI# 1285183582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285183582 |
| Entity Type | Individual |
| Full Name | SARA O'DONNELL |
| Other Name | SARA LOUISE LAVERE |
| Practice Address |
1604 Sanborn St Port Huron MI 48060-1908 |
| Practice Telephone | 8104343957 |
| Mailing Telephone | 8104343957 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING | 125347 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023562782 | Sara Elizabeth O'donnell | Nurse Practitioner | 5618 Odana Rd, Madison, WI 53719-1208 | 2016-08-11 |
| Street Address |
1604 SANBORN ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| 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 |
|---|---|---|---|---|
| 1366007908 | Sherry Paulett Stringer-stair | Specialist/Technologist, Other | 16868 Lesure St, Detroit, MI 48235-4011 | 2019-05-09 |
| 1467017079 | David Wayne Hudson | Specialist/Technologist, Other | 23100 Lynnhurst St, Macomb, MI 48042-5476 | 2019-05-08 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1023310224 | Steven A Machulis | Specialist/Technologist, Other | 225 Long Lake Ave, Alpena, MI 49707 | 2010-11-22 |
| 1790861557 | Stanley J Selengowski | Specialist/Technologist, Other | 12402, Evergreen, Shelby Township, MI 48315 | 2006-10-27 |
| 1730510405 | Hassan Hamdan | Specialist/Technologist, Other | 8560 N Silvery Ln, Suite 202, Dearborn Heights, MI 48127-4515 | 2013-12-06 |
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on SARA O'DONNELL.
| 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.