RONALD ALLEN BRISTOW (NPI# 1639667900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639667900 |
| Entity Type | Individual |
| Full Name | RONALD ALLEN BRISTOW |
| Credential | CSFA |
| Practice Address |
2003 Kootenai Health Way Coeur D Alene ID 83814-6051 |
| Mailing Address |
Po Box 574 Hayden ID 83835-0574 |
| Practice Telephone | 2086254000 |
| Mailing Telephone | 2082154383 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
154214 | ID | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962816967 | Ronald Ray Bristow | Counselor | 888 E Belvidere Rd, Suite 319, Grayslake, IL 60030-2568 | 2014-06-17 |
| 1407819121 | Ronald Griffith Bristow | Specialist | 1110 N Buckner Blvd Ste 103, Dallas, TX 75218-3498 | 2006-04-11 |
| Street Address |
2003 KOOTENAI HEALTH WAY |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909151 | Pamela S Pomeroy | Nurse Practitioner | 2003 Kootenai Health Way, Coeur D Alene, ID 83814 | 2005-06-01 |
| 1104425149 | Denise White | Nurse Practitioner | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2020-10-21 |
| 1992343487 | Audrey Nordness | Pharmacist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-12-15 |
| 1881245017 | Jackie Rae Fitting | Pharmacist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-29 |
| 1336790567 | Shane Oliver Withers Jr. | Pharmacist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-29 |
| 1447800552 | Keith Mccullough | Physician Assistant | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-19 |
| 1568012102 | Kaitlin Wendt | Nurse Practitioner | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-16 |
| 1215586862 | Heather A Hamilton | Social Worker | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-09-06 |
| 1205498193 | Guy Hoenke | Registered Nurse | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-07-01 |
| 1407417843 | Maddison M Ray | Dietitian, Registered | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1184110827 | Kristine Renae Allen | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2018-07-05 |
| 1326541079 | Alison Stenson | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2018-03-08 |
| 1427502640 | Monica Preciado | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2016-08-04 |
| 1154730968 | Sean Michael Hunter | Specialist/Technologist, Other | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814 | 2014-08-06 |
| 1720493950 | Coeur D Alene | Specialist/Technologist, Other | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2014-06-26 |
| 1841430063 | Shannon Marie Jahns | Specialist/Technologist, Other | 2121 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2009-02-27 |
| 1770641193 | Robert Blackston | Specialist/Technologist, Other | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226377 | Linda Krystle Morales Overton | Specialist/Technologist, Other | 1828 S Millenium Way Ste 100, Meridian, ID 83642-5036 | 2018-12-17 |
| 1669978516 | Terra Lee Lawson-gilbert | Specialist/Technologist, Other | 10081 N Government Way, Hayden, ID 83835-9677 | 2018-03-31 |
| 1841663507 | Samantha Molbert | Specialist/Technologist, Other | 1435 Scorpius Dr, Idaho Falls, ID 83402-1805 | 2015-11-03 |
| 1104205962 | Mary Parsons | Specialist/Technologist, Other | 590 W Two Rivers Dr, Eagle, ID 83616-7121 | 2015-05-27 |
| 1578826194 | Treasure Valley Surgical Assistants | Specialist/Technologist, Other | 128 Peasley St, Boise, ID 83705-1641 | 2012-06-19 |
| 1770865495 | Heidi Davies | Specialist/Technologist, Other | 121 E Victory Rd, Apt L203, Meridian, ID 83642-6633 | 2011-09-20 |
| 1720315823 | Anna's Assisting PC | Specialist/Technologist, Other | 4401 E Tuscany Ave, Nampa, ID 83686-5082 | 2009-11-10 |
| 1740346188 | Vera Pauline Thomas | Specialist/Technologist, Other | 240 S Delphinium Ave, Star, ID 83669-5275 | 2006-12-29 |
| 1578078465 | Heather Berger | Specialist/Technologist, Other | 1075 N Curtis Rd Ste 101, Boise, ID 83706-1348 | 2017-12-13 |
| 1205201050 | East Idaho Surgical Assisting, LLC | Specialist/Technologist, Other | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2015-12-04 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.