JOSHUA HEACOCK (NPI# 1689291502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689291502 |
| Entity Type | Individual |
| Full Name | JOSHUA HEACOCK |
| Practice Address |
16255 Harlem Ave Tinley Park IL 60477-1615 |
| Practice Telephone | 7085995000 |
| Mailing Telephone | 7085995000 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| 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 |
238000678 | IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
16255 HARLEM AVE |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467491191 | Jill Stulga | Physical Therapist | 16255 Harlem Ave, Tinley Park, IL 60477-1615 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1568072288 | Jaime Viramontes Jr. | Specialist/Technologist, Other | 2725 Technology Dr, Lombard, IL 60148-5675 | 2020-08-06 |
| 1215545660 | Ghirri Health Care Inc | Specialist/Technologist, Other | 9101 Falcon Ridge Dr, Bridgeview, IL 60455-2608 | 2020-07-21 |
| 1649896606 | Eric Dupaya | Specialist/Technologist, Other | 6432 S Eberhart Ave, Chicago, IL 60637-3325 | 2020-06-24 |
| 1508482027 | Juan Carlos Diaz | Specialist/Technologist, Other | 1433 W Flournoy St Apt 3f, Chicago, IL 60607-3213 | 2020-06-20 |
| 1528682275 | Alan George | Specialist/Technologist, Other | 606 N Van Auken St, Elmhurst, IL 60126-1947 | 2020-05-28 |
| 1881215416 | Brianne O'leary | Specialist/Technologist, Other | 2413 Sunrise Cir, Aurora, IL 60503-6757 | 2020-05-05 |
| 1669006433 | Michael Howard Keller | Specialist/Technologist, Other | 414 Chapel St, Marengo, IL 60152-3016 | 2020-03-02 |
| 1205487543 | Muneif Abusaleh | Specialist/Technologist, Other | 10536 Forest Ln, Chicago Ridge, IL 60415-1820 | 2019-09-27 |
| 1831752773 | Bienvenido Camacho | Specialist/Technologist, Other | 7900 W Deerwood Dr, Palos Park, IL 60464-2155 | 2019-04-16 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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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.