HENRY LESTER BRERETON JR. (NPI# 1609032424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609032424 |
| Entity Type | Individual |
| Full Name | HENRY LESTER BRERETON JR. |
| Credential | CST, CFA |
| Practice Address |
224 W Erie Ave Harrison AR 72601-3539 |
| Practice Telephone | 8707418289 |
| Practice Fax Number | 8707410308 |
| Mailing Telephone | 8707418289 |
| Mailing Fax Number | 8707410308 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
108730 | AR | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
224 W ERIE AVE |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487620860 | Charles Austin Ledbetter | Specialist | 224 W Erie Ave, Harrison, AR 72601-3539 | 2006-02-27 |
| 1336504232 | James E Hankins | Nurse Practitioner | 224 W Erie Ave, Harrison, AR 72601-3539 | 2015-12-18 |
| 1275941064 | Brian K Linn, Md | Family Medicine | 224 W Erie Ave, Harrison, AR 72601-3539 | 2014-07-24 |
| 1184846065 | Arkansas Orthopedics & Sports Medicine, P.a. | Orthopaedic Surgery | 224 W Erie Ave, Harrison, AR 72601-3539 | 2007-05-02 |
| 1760509657 | Brian K Linn | Family Medicine | 224 W Erie Ave, Harrison, AR 72601-3539 | 2007-03-23 |
| 1386673945 | Ozark Orthopedic Associates, Ltd. | Specialist | 224 W Erie Ave, Harrison, AR 72601-3539 | 2006-07-03 |
| 1558306902 | Tarik Sidani | Orthopaedic Surgery | 224 W Erie Ave, Harrison, AR 72601-3539 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| 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 |
|---|---|---|---|---|
| 1568637817 | Lana Sue Vaughn | Specialist/Technologist, Other | 218 Mercer Ln, Bismarck, AR 71929-7251 | 2008-04-28 |
| 1700441136 | Mika Laray Mckinney | Specialist/Technologist, Other | 3733 N Business Dr Ste 101, Fayetteville, AR 72703-5286 | 2019-05-01 |
| 1306178140 | Michelle R Bird | Specialist/Technologist, Other | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2010-02-04 |
| 1992887996 | Monita Spann | Specialist/Technologist, Other | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2006-10-19 |
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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.