PERSONAL SURGICAL SERVICES (NPI# 1306373352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306373352 |
| Entity Type | Organization |
| Organization Name | PERSONAL SURGICAL SERVICES |
| Practice Address |
11354 Jersey St Thornton CO 80233-5523 |
| Practice Telephone | 3038878091 |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2017-05-20 |
| Authorized Official Name | CHRISTOPHER SHAMA (SECRETARY) |
| Authorized Official Telephone | 3038865729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
CO | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
11354 JERSEY ST |
| City | THORNTON |
| State | CO |
| Zip Code | 80233-5523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| 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 |
|---|---|---|---|---|
| 1457822975 | Woke | Specialist/Technologist, Other | 1336 E 101st Ave, Thornton, CO 80229-3970 | 2018-12-10 |
| 1801381710 | Blue Mountain Surgical Assisting | Specialist/Technologist, Other | 13442 Thorncreek Cir, Thornton, CO 80241-3902 | 2018-06-25 |
| 1891200077 | Dwain Rosse | Specialist/Technologist, Other | 3758 E 104th Ave # 102, Thornton, CO 80233-4434 | 2017-12-09 |
| 1386875276 | Salvatore Anthony Depasquale | Specialist/Technologist, Other | 87 Indianwood Dr, Thornton, IL 60476 | 2009-07-27 |
| 1740749738 | Victor Anghel | Specialist/Technologist, Other | 9191 Grant St, Thornton, CO 80229-4361 | 2019-03-18 |
| 1194201640 | Genesis Surgical Assisting LLC | Specialist/Technologist, Other | 3758 E 104th Ave # 102, Thornton, CO 80233-4434 | 2018-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881945 | Jaime Brooks | Specialist/Technologist, Other | 7262 S Blackhawk St Apt 8206, Englewood, CO 80112-4023 | 2020-11-04 |
| 1649881723 | Cecilia Flores | Specialist/Technologist, Other | 4245 Basswood Dr, Colorado Springs, CO 80920-6645 | 2020-08-12 |
| 1609486059 | Gregory Franklin Wright | Specialist/Technologist, Other | 2255 Sheridan Blvd Unit C321, Edgewater, CO 80214-1313 | 2020-07-31 |
| 1023635117 | Byron Pollock | Specialist/Technologist, Other | 10798 Madison Way, Northglenn, CO 80233-4482 | 2020-07-06 |
| 1558996736 | Zachary Apu Stroh | Specialist/Technologist, Other | 3215 W 17th Ave, Denver, CO 80204-1909 | 2020-03-07 |
| 1588297162 | John Gines | Specialist/Technologist, Other | 1920 Mainsail Dr, Fort Collins, CO 80524-6707 | 2020-02-21 |
| 1750921136 | Eric Matthew Shelman | Specialist/Technologist, Other | 7286 S Pierce Ct, Littleton, CO 80128-4516 | 2020-01-13 |
| 1033750393 | Liudmila Fernandez | Specialist/Technologist, Other | 4308 S Delighted Cir, Colorado Springs, CO 80917-1500 | 2019-10-07 |
| 1235690363 | Mariha Dawn Miller | Specialist/Technologist, Other | 10200 Park Meadows Dr Unit 1727, Lone Tree, CO 80124-5466 | 2019-03-29 |
| 1477012094 | Wilmer Del Carmen Brizuela Moran | Specialist/Technologist, Other | 1755 S Beeler St Unit 11d, Denver, CO 80247-2913 | 2019-03-13 |
| 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.