MR. ROBERT EZIKE (NPI# 1407366537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407366537 |
| Entity Type | Individual |
| Full Name | MR. ROBERT EZIKE |
| Credential | SA-C, CSA |
| Practice Address |
310 98th Ln Nw Coon Rapids MN 55433-5613 |
| Practice Telephone | 4435286114 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | 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 |
310 98TH LN NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-5613 |
| 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 | 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 |
|---|---|---|---|---|
| 1639710940 | Marissa Malley | Specialist/Technologist, Other | 408 19th St Nw, Rochester, MN 55901-8126 | 2019-10-08 |
| 1871739524 | Lori J. Vonbehren | Specialist/Technologist, Other | 9552 Yukon Cir S, Bloomington, MN 55438-1645 | 2008-12-31 |
| 1487116547 | Augustus Owusu Sarpong | Specialist/Technologist, Other | 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 | 2019-04-05 |
| 1912420704 | William R Turnquist | Specialist/Technologist, Other | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-07-24 |
| 1831628478 | Monica Marie Mckay | Specialist/Technologist, Other | 17 Exchange St W Ste 622, Saint Paul, MN 55102-1225 | 2017-06-07 |
| 1932635547 | Tina Kretsch | Specialist/Technologist, Other | 17 Exchange St W Ste 622, Saint Paul, MN 55102-1225 | 2017-05-03 |
| 1922534536 | Cassandra Wittner | Specialist/Technologist, Other | 17 Exchange St W Ste 622, Saint Paul, MN 55102-1225 | 2017-05-03 |
| 1407390511 | Kelley Wichman | Specialist/Technologist, Other | 710 Commerce Dr, Woodbury, MN 55125-4919 | 2016-12-08 |
| 1265779714 | Anna M Bennett | Specialist/Technologist, Other | 14001 Ridgedale Dr, Suite 200, Minnetonka, MN 55305-1753 | 2013-01-03 |
| 1720367766 | Angela J Brown | Specialist/Technologist, Other | 519 S Galbraith St, Blue Earth, MN 56013-2155 | 2011-08-09 |
| 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.