SHANON MARIE RODERICK (NPI# 1457972309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457972309 |
| Entity Type | Individual |
| Full Name | SHANON MARIE RODERICK |
| Credential | CST |
| Practice Address |
115 Bradford Ct Savannah GA 31406-4122 |
| Practice Telephone | 9124321821 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
115 BRADFORD CT |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| 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 |
|---|---|---|---|---|
| 1164961264 | Jonathan Foster | Specialist/Technologist, Other | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2017-02-22 |
| 1013243518 | Sherry Olivia Scott | Specialist/Technologist, Other | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2009-10-19 |
| 1942535729 | Liza Byars | Specialist/Technologist, Other | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2009-10-12 |
| 1619159720 | Lisa M. Holmes | Specialist/Technologist, Other | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2007-11-30 |
| 1194874891 | Amy C Ruiz | Specialist/Technologist, Other | 4425 Paulsen St, Savannah, GA 31405-3637 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063964344 | Tawni Marley Smith | Specialist/Technologist, Other | 135 N Hill St, Griffin, GA 30223-3326 | 2016-11-02 |
| 1205252285 | Surgichoice Surgical Assistants LLC | Specialist/Technologist, Other | 6522 Carriage Ln, Stone Mountain, GA 30087-4642 | 2014-03-13 |
| 1619314044 | George Gregory Mccoy II | Specialist/Technologist, Other | 4618 Joseph Eli Dr, Snellville, GA 30039-7139 | 2013-05-24 |
| 1740626381 | Yulonda Tate | Specialist/Technologist, Other | 664 Willow Bend Dr, Jonesboro, GA 30238-5982 | 2013-05-21 |
| 1811233794 | Mark Shannon Thomas | Specialist/Technologist, Other | 2124 Fountain Sq, Snellville, GA 30078-3196 | 2012-12-20 |
| 1841565876 | Kimberly Ann Washburn | Specialist/Technologist, Other | 220 Lamar Smith Dr, Newnan, GA 30263-4086 | 2012-03-08 |
| 1255604963 | Reginald D Williams Sr. | Specialist/Technologist, Other | 440 Pinevale Ct, College Park, GA 30349-7987 | 2012-02-13 |
| 1760753776 | Bheem Persaud | Specialist/Technologist, Other | 811 Evergreen Dr, Monroe, GA 30655-7354 | 2012-01-23 |
| 1164700415 | Mark E Loiselle | Specialist/Technologist, Other | 2780 Still Lake Dr, Acworth, GA 30102-1183 | 2011-08-03 |
| 1073819066 | Angelia Brown | Specialist/Technologist, Other | 848 Biltmore Ct, Lithonia, GA 30058-6747 | 2011-02-08 |
| Find all providers with the same taxonomy | ||||
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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.