LONESTAR SURGICAL PROFESSIONALS LLC (NPI# 1356861157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356861157 |
| Entity Type | Organization |
| Organization Name | LONESTAR SURGICAL PROFESSIONALS LLC |
| Practice Address |
212 Joyce St Weatherford TX 76085-9524 |
| Mailing Address |
Po Box 2405 Weatherford TX 76086-7405 |
| Practice Telephone | 6027082493 |
| Mailing Telephone | 6027082493 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Authorized Official Name | MRS. CRYSTALRAE CODDINGTON MCPHERSON (OWNER) |
| Authorized Official Telephone | 6027082493 |
| Authorized Official Credential | CSFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
212 JOYCE ST |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76085-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871788190 | Crystalrae Coddington Mcpherson | Specialist/Technologist, Other | 212 Joyce St, Weatherford, TX 76085-9524 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790318939 | Sandra Ann Buchanan | Technician | 4200 Old Springton Rd, Weatherford, TX 76085 | 2020-02-17 |
| 1649595737 | Stephanie Sudderth | Physical Therapist | 150 Willow Creek Drive #107, Weatherford, TX 76085 | 2010-03-31 |
| 1033685235 | Liana Elise Mills | Audiologist | 150 Willow Creek Dr Ste 105, Weatherford, TX 76085 | 2018-10-16 |
| 1598309734 | Rafath Creamier | Nurse Practitioner | 242 Miramar Cir, Weatherford, TX 76085-2829 | 2019-10-31 |
| 1225502040 | Lena Wilson Peterson | Registered Nurse | 243 Miramar Cir, Weatherford, TX 76085-2830 | 2019-01-15 |
| 1700875408 | Duane P Riegel | Nurse Anesthetist, Certified Registered | 106 Timaaron Ct, Weatherford, TX 76085-3025 | 2005-10-17 |
| 1205156924 | Jessica Stacy | Speech-Language Pathologist | 150 Willow Creek Dr, #107, Weatherford, TX 76085-3651 | 2010-06-03 |
| 1699200931 | Kendall Campbell | Speech-Language Pathologist | 150 Willow Creek Dr, Weatherford, TX 76085-3651 | 2017-04-24 |
| 1821465840 | Bridget Bass | Occupational Therapist | 150 Willow Creek Dr, Suite 105, Weatherford, TX 76085-3651 | 2015-08-25 |
| 1265846562 | Jaclyn Butterworth | Speech-Language Pathologist | 150 Willow Creek Dr, Suite 105, Weatherford, TX 76085-3651 | 2014-06-13 |
| Find all providers in zip 76085 | ||||
| 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 |
|---|---|---|---|---|
| 1306467980 | Zachary Stockton | Specialist/Technologist, Other | 1402 King St, Weatherford, TX 76086-1746 | 2020-05-05 |
| 1871788190 | Crystalrae Coddington Mcpherson | Specialist/Technologist, Other | 212 Joyce St, Weatherford, TX 76085-9524 | 2007-09-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WEATHERFORD |
| Zip Code | 76085 |
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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.