SURGICAL FIRST ASSIST, LLC (NPI# 1447506514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447506514 |
| Entity Type | Organization |
| Organization Name | SURGICAL FIRST ASSIST, LLC |
| Practice Address |
8921 Black Panther Cove Herenando MS 38632 |
| Practice Telephone | 9015905968 |
| Mailing Telephone | 9015905968 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |
| Authorized Official Name | MR. WILLIAM CLARK (CERTIFIED SURGICAL ASSISTANT / OWNE) |
| Authorized Official Telephone | 9015905968 |
| Authorized Official Credential | CSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDVIDUAL NPI BEFORE LLC FORMATION | 1487886834 | 01 |
| Street Address |
8921 BLACK PANTHER COVE |
| City | HERENANDO |
| State | MS |
| Zip Code | 38632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| 1629252093 | Debra Shelton | Counselor | 190 W South St, Hernando, MS 38632 | 2007-12-20 |
| Find all providers in zip 38632 | ||||
| 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 |
|---|---|---|---|---|
| 1801494869 | Rhette Cook | Specialist/Technologist, Other | 151 Notting Hill Pl, Canton, MS 39046-8024 | 2020-10-13 |
| 1811187222 | Joseph Riley | Specialist/Technologist, Other | 8111 Windersgate Cir, Olive Branch, MS 38654-1209 | 2007-08-01 |
| 1558715797 | Synaptic Resources Gulf States LLC | Specialist/Technologist, Other | 1675 Lakeland Dr, Ste 508, Jackson, MS 39216-4852 | 2016-04-13 |
| 1689970857 | Beau Ryan Bensinger | Specialist/Technologist, Other | 106 Highland Way, Ste 204, Madison, MS 39110-6929 | 2011-02-04 |
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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.