BACKBONE SURGICAL SUPPORT, LLC (NPI# 1528463718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528463718 |
| Entity Type | Organization |
| Organization Name | BACKBONE SURGICAL SUPPORT, LLC |
| Practice Address |
4582 Kingwood Dr Ste 187 Kingwood TX 77345-2639 |
| Mailing Address |
4582 Kingwood Drive Ste 187 Kingwood TX 77345 |
| Practice Telephone | 7132694564 |
| Practice Fax Number | 8884266435 |
| Mailing Telephone | 7132694564 |
| Mailing Fax Number | 8884266435 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | COLIN VADHEIM (MANAGEING MEMBER) |
| Authorized Official Telephone | 7132317720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4582 KINGWOOD DR STE 187 |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77345-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871692459 | Michael T Doyle | Dentist | 4582 Kingwood Dr, Suite F, Kingwood, TX 77345 | 2006-09-21 |
| 1871030726 | Mcdavid Medical Services | Durable Medical Equipment & Medical Supplies | 4582 Kingwood Dr, Ste. E #278, Kingwood, TX 77345-2639 | 2017-01-30 |
| 1073920732 | Minimal Access Spine Technology | Electrodiagnostic Medicine | 4582 Kingwood Dr, Suite 187, Kingwood, TX 77345-2639 | 2014-07-15 |
| 1467585372 | Rhonda G. Bollman | Dentist | 4582 Kingwood Dr, Suite F, Kingwood, TX 77345-2639 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959027 | Kathy F. Ward | Dietitian, Registered | 4902 Maple Terrace Dr., Kingwood, TX 77345 | 2020-07-20 |
| 1952894313 | P&b Surgical Solutions Pllc | Surgery | 4542 Windy Hollow Dr, Kingwood, TX 77345 | 2018-06-11 |
| 1952833055 | Kingwood Smiles Dentistry,pc | Dentist | 4521 Kingwood Dr Suite 180, Kingwood, TX 77345 | 2017-03-29 |
| 1568847879 | Med Care To You Management, Inc | Clinic/Center | 4582 Kingwood Drive, Suite E107, Kingwood, TX 77345 | 2015-07-28 |
| 1497067805 | Paula Lorraine Henzl | Pharmacist | 7400 Fm 1960 E, Humble, TX 77345 | 2010-07-14 |
| 1588894463 | Jennifer Foro Pinon | Speech-Language Pathologist | 6211 Redwood Bridge Trl, Kingwood, TX 77345 | 2009-07-25 |
| 1770658999 | Stephanie Anne Miller | Counselor | 301 Us Hwy 59 South Loop, Suite C, Livingston, TX 77345 | 2006-11-22 |
| 1558445031 | Jeffrey Charles Coy | Chiropractor | 3052 Northpark Dr, Kingwood, TX 77345 | 2006-10-24 |
| 1508975939 | H-e-b, Lp | Clinical Medical Laboratory | 4517 Kingwood Drive, Kingwood, TX 77345 | 2006-08-30 |
| 1124527940 | Ginger L Hiney | Occupational Therapy Assistant | 5018 Maple Brook Ln, Kingwood, TX 77345-1020 | 2018-02-07 |
| Find all providers in zip 77345 | ||||
| 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 |
|---|---|---|---|---|
| 1558754515 | Jose Raul Chavez | Specialist/Technologist, Other | 300 Forest Center Dr #24107, Kingwood, TX 77339-5269 | 2015-03-13 |
| 1386983781 | Gregory Alan Robinson | Specialist/Technologist, Other | 3700 Kingwood Dr Apt 1721, Kingwood, TX 77339-3724 | 2013-02-05 |
| 1003331927 | Devyn C Marin | Specialist/Technologist, Other | 601 Rockmead Dr, Kingwood, TX 77339-2107 | 2017-08-11 |
| 1205363330 | Texas Principal Surgical Assistants | Specialist/Technologist, Other | 22999 Highway 59 N, Kingwood, TX 77339-4412 | 2017-05-19 |
| 1497190938 | Gr Surgery,llc | Specialist/Technologist, Other | 3700 Kingwood Dr Apt 1721, Kingwood, TX 77339-3724 | 2013-05-09 |
| 1417241001 | Thomas J Jones | Specialist/Technologist, Other | 601 Rockmead Dr, Kingwood, TX 77339-2107 | 2011-06-01 |
| 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 | ||||
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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.