JON D. KING (NPI# 1306868880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306868880 |
| Entity Type | Individual |
| Full Name | JON D. KING |
| Credential | CSA |
| Practice Address |
4040 Coon Rapids Blvd Nw # 100 Coon Rapids MN 55433-2522 |
| Practice Telephone | 7632369500 |
| Mailing Telephone | 7632369500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
077776 | MN | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679862262 | Jon Yueh King | Chiropractor | 3060 W Temple Ave, Suite B, Pomona, CA 91766-6818 | 2011-04-04 |
| 1124009352 | Jon A King | Surgery | 9250 W Thomas Rd, Ste 250, Phoenix, AZ 85037-3382 | 2005-11-05 |
| 1285158238 | Jon Travis King | Hearing Instrument Specialist | 1825 W. Plaza Dr., Winchester, VA 22601 | 2017-08-01 |
| Street Address |
4040 COON RAPIDS BLVD NW # 100 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497773329 | Kitty C. Skoog | Registered Nurse | 4040 Coon Rapids Blvd Nw # 100, Coon Rapids, MN 55433-2522 | 2006-07-18 |
| 1033133731 | Kathleen M Mckay | Registered Nurse | 4040 Coon Rapids Blvd Nw # 100, Coon Rapids, MN 55433-2522 | 2006-07-26 |
| 1528081205 | Jane B Hansen | Registered Nurse | 4040 Coon Rapids Blvd Nw # 100, Coon Rapids, MN 55433-2522 | 2006-07-25 |
| 1558383539 | Paul L. Aubart | Registered Nurse | 4040 Coon Rapids Blvd Nw # 100, Coon Rapids, MN 55433-2522 | 2006-07-25 |
| 1770505026 | Andrea M. Sieberlich | Specialist/Technologist, Other | 4040 Coon Rapids Blvd Nw # 100, Coon Rapids, MN 55433-2522 | 2006-07-24 |
| 1881613024 | Laurie J. Fisk | Registered Nurse | 4040 Coon Rapids Blvd Nw # 100, Coon Rapids, MN 55433-2522 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1770505026 | Andrea M. Sieberlich | Specialist/Technologist, Other | 4040 Coon Rapids Blvd Nw # 100, Coon Rapids, MN 55433-2522 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700117207 | Kristi Laine Kornder | Specialist/Technologist, Other | 1601 St Francis Ave, Shakopee, MN 55379 | 2010-01-22 |
| 1518019389 | Kathleen Gail Rajek | Specialist/Technologist, Other | 6405 France Ave S Ste W400, Edina, MN 55435-2192 | 2007-01-18 |
| 1699882548 | Metro First Assistants, Inc. | Specialist/Technologist, Other | 5130 Holly Ln N Unit 3, Plymouth, MN 55446-1773 | 2006-08-24 |
| 1578580643 | Lu Ann Runkle | Specialist/Technologist, Other | 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 | 2006-07-16 |
| 1376529149 | Benjamin N Quintero | Specialist/Technologist, Other | 4305 Dunrovin Ln, Eagan, MN 55123-1760 | 2005-12-22 |
| 1588646970 | Bruce Edward Hertzenberg | Specialist/Technologist, Other | 5130 Holly Ln N, #3, Plymouth, MN 55446-1772 | 2005-11-19 |
| 1902396799 | Kristi Ann Gingras | Specialist/Technologist, Other | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2018-05-16 |
| 1164852554 | Sara Mary Fatland | Specialist/Technologist, Other | 4010 W 65th St, Edina, MN 55435-1706 | 2013-11-21 |
| 1386086502 | Roberta Amber Bolitho | Specialist/Technologist, Other | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2013-07-30 |
| 1063656452 | Crystal Ann Malm | Specialist/Technologist, Other | 6545 France Ave S, Suite 160, Edina, MN 55435-2131 | 2009-04-29 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.