MINELA MAHMUTOVIC (NPI# 1336636679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336636679 |
| Entity Type | Individual |
| Full Name | MINELA MAHMUTOVIC |
| Credential | CST/CSFA |
| Practice Address |
930 New Hope Rd Suite 11-526 Lawrenceville GA 30045 |
| Mailing Address |
930 New Hope Rd Suite 11-526 Lawrenceville GA 30045-6576 |
| Practice Telephone | 4049214973 |
| Mailing Telephone | 4049214973 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-05-15 |
| 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 |
GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
930 NEW HOPE RD SUITE 11-526 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265471205 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2006-06-05 |
| 1396398269 | Lillian Portillo | Pharmacist | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2019-07-19 |
| 1235628256 | Mm Surgical Services, LLC | Specialist/Technologist, Other | 930 New Hope Rd, Suite 11-526, Lawrenceville, GA 30045 | 2018-05-04 |
| 1407200579 | Saudia Ally | Pharmacist | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2016-04-14 |
| 1982941753 | Nadene A Roberts | Pharmacist | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2013-01-13 |
| 1497092266 | Aaron William Fink | Pharmacist | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2013-01-13 |
| 1578800512 | Robert Wayne Nobs | Pharmacist | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
| 1215579982 | Anfernee Jerome Walker | Specialist/Technologist, Other | 990 Thousand Oaks Dr, Lawrenceville, GA 30043-3123 | 2019-10-14 |
| 1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
| 1285158857 | Baker Surgical Services | Specialist/Technologist, Other | 344 Oaktown Pl, Lawrenceville, GA 30044-3864 | 2017-07-26 |
| 1639606734 | Rakhman Eshov | Specialist/Technologist, Other | 1585 Southern Oaks Cv, Lawrenceville, GA 30043-3050 | 2017-05-19 |
| 1124578943 | Nhora Santiago-gamboa | Specialist/Technologist, Other | 1826 Jameson Cir, Lawrenceville, GA 30043-2757 | 2016-10-05 |
| 1386024941 | Davidetta Freeman | Specialist/Technologist, Other | 1473 Alamein Dr, Lawrenceville, GA 30046-2862 | 2015-06-08 |
| 1972884229 | Atlanta Surgical Assistant,llc. | Specialist/Technologist, Other | 1840 Angus Lee Dr, Lawrenceville, GA 30045-2764 | 2011-08-31 |
| 1427170687 | Leon Hughes Jr. | Specialist/Technologist, Other | 1270 Chris Lake Drive, Lawrenceville, GA 30046 | 2007-04-06 |
| 1235628256 | Mm Surgical Services, LLC | Specialist/Technologist, Other | 930 New Hope Rd, Suite 11-526, Lawrenceville, GA 30045 | 2018-05-04 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.