MR. TIMOTHY ANDREW MARVIN (NPI# 1497866263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497866263 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY ANDREW MARVIN |
| Credential | LSA |
| Practice Address |
171 Rock House Dr Liberty Hill TX 78642-6305 |
| Practice Telephone | 5126562928 |
| Practice Fax Number | 5126562928 |
| Mailing Telephone | 5126562928 |
| Mailing Fax Number | 5126562928 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
F01177 | CO | Technologists, Technicians & Other Technical Service Providers |
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA00018 | TX | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
SA00018 | TX | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
F01177 | CO | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE SURGICAL ASSISTANT | SA00018 | 01 |
| CO | CERIFIED FIRST ASSISTANT | F01177 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215546205 | Timothy Marvin | Technician | 2700 22nd St, Parkersburg, WV 26101-3810 | 2020-07-27 |
| Street Address |
171 ROCK HOUSE DR |
| City | LIBERTY HILL |
| State | TX |
| Zip Code | 78642-6305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669845632 | Liberty Hill Surgery Center LLC | Specialist/Technologist, Other | 171 Rock House Dr, Liberty Hill, TX 78642-6305 | 2015-11-12 |
| 1407031156 | T.m. First Assisting Inc. | Specialist/Technologist, Other | 171 Rock House Dr, Liberty Hill, TX 78642-6305 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856689 | Lori Janean Seeds Martin | Social Worker | 155 Hillcrest Lane, Community Resource Center, Liberty Hill, TX 78642 | 2020-09-22 |
| 1629682836 | Gregory David Brooks Sr. | Pharmacist | 14001 Hwy 29, Suite 202a, Liberty Hill, TX 78642 | 2020-09-04 |
| 1881205698 | Hill Country Pharmacare, LLC | Pharmacy | 14001 Hwy 29 Suite 202a, Liberty Hill, TX 78642 | 2020-08-14 |
| 1194374173 | Samantha Kendall | Nurse Practitioner | 12550 Tx 29, Liberty Hill, TX 78642 | 2019-09-11 |
| 1760030746 | Hoverh | Naturopath | 3103 Ranch Road 1869, Liberty Hill, TX 78642 | 2019-09-03 |
| 1578118311 | Susan Slagle | Specialist/Technologist | 13125 W Highway 29, Liberty Hill, TX 78642 | 2019-08-08 |
| 1669942140 | Deanna Sigman Johnson | Social Worker | 14745 Highway 29, Suite E, Li Berty Hill, Tx, TX 78642 | 2018-11-28 |
| 1013486398 | Phillip Zamora | Hearing Instrument Specialist | 12701 West Highway 29, Liberty Hill, TX 78642 | 2018-11-16 |
| 1962898205 | Kaela Thurman | Nurse Practitioner | 12701 W Sh29 Suite 5, Liberty Hill, TX 78642 | 2015-04-14 |
| 1255675336 | Jacquelyn Denise Strait | Optometrist | 14370 West Highway 29, Suite 8, Liberty Hill, TX 78642 | 2012-11-15 |
| Find all providers in zip 78642 | ||||
| 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 |
|---|---|---|---|---|
| 1669845632 | Liberty Hill Surgery Center LLC | Specialist/Technologist, Other | 171 Rock House Dr, Liberty Hill, TX 78642-6305 | 2015-11-12 |
| 1407031156 | T.m. First Assisting Inc. | Specialist/Technologist, Other | 171 Rock House Dr, Liberty Hill, TX 78642-6305 | 2007-12-31 |
| 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 | LIBERTY HILL |
| Zip Code | 78642 |
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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.