BLANCA ELCY JARDEL (NPI# 1558912584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558912584 |
| Entity Type | Individual |
| Full Name | BLANCA ELCY JARDEL |
| Credential | SA-C |
| Practice Address |
1137 Stoney Falls Blvd Myrtle Beach SC 29579-4182 |
| Practice Telephone | 6314551384 |
| Mailing Telephone | 6314551384 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
19-282 | SC | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1137 STONEY FALLS BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-4182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| 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 |
|---|---|---|---|---|
| 1497237481 | Maryfrances Stevens | Specialist/Technologist, Other | 207 Green Lake Dr, Myrtle Beach, SC 29572-5509 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760027601 | Samantha P Thorpe | Specialist/Technologist, Other | 8224 Little Sydneys Way, Charleston, SC 29406-8923 | 2019-11-14 |
| 1790328086 | Carolina J Chirinos Suarez | Specialist/Technologist, Other | 230 Pelham Rd Apt 46, Greenville, SC 29615-2518 | 2019-10-20 |
| 1164065454 | Jennifer Alexandra Chirinos Suarez | Specialist/Technologist, Other | 300 Pelham Rd Apt 62, Greenville, SC 29615-3138 | 2019-10-20 |
| 1518386945 | Timothy Desousa | Specialist/Technologist, Other | 1316 Hearthstone Dr, Ridgeland, SC 29936-7088 | 2014-04-14 |
| 1801226139 | Tammy Lea Lowe | Specialist/Technologist, Other | 1175 Cook Rd Ste 230, Rmc Palmetto Surgical Group/medical Arts Center, Orangeburg, SC 29118-8201 | 2013-11-22 |
| 1972146520 | Rafael Humberto Chirinos Salazar | Specialist/Technologist, Other | 300 Pelham Rd Apt 62, Greenville, SC 29615-3138 | 2019-10-25 |
| 1053875120 | Smita Patel | Specialist/Technologist, Other | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-01-23 |
| 1912491895 | Marianella Mijares | Specialist/Technologist, Other | 1316 Hearthstone Dr, Ridgeland, SC 29936-7088 | 2018-06-14 |
| 1962993683 | Wendy Aragon Hall | Specialist/Technologist, Other | 1 Medical Park Dr, Chester, SC 29706-9769 | 2018-05-29 |
| 1093137168 | Schyler Horne | Specialist/Technologist, Other | 1445 N Limestone St, Gaffney, SC 29340-4735 | 2014-01-09 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.