DEIRDRE ROBERTSON (NPI# 1700288560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700288560 |
| Entity Type | Individual |
| Full Name | DEIRDRE ROBERTSON |
| Other Name | DEIRDRE MILLEDGE |
| Credential | CST |
| Practice Address |
2200 Kell Blvd Wichita Falls TX 76309-4401 |
| Practice Telephone | 9402642600 |
| Mailing Telephone | 9402642600 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2200 KELL BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76309-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316926900 | Corene Crouse | Nurse Practitioner | 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | 2006-01-11 |
| 1114434156 | Laura Kay Meredith | Specialist/Technologist, Other | 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | 2017-12-29 |
| 1912442757 | Pro-som, Pllc | Anesthesiology | 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | 2017-01-03 |
| 1184004996 | Dustin E Van Tassell | Dentist | 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | 2015-06-06 |
| 1740671429 | Texoma Surgery Center LLC | Clinic/Center | 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | 2015-02-17 |
| 1972911444 | James R. Green D.d.s,pa | Dentist | 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | 2014-07-29 |
| 1578882809 | Texoma Plastic Surgery, P.a. | Plastic Surgery | 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | 2010-05-26 |
| 1053387399 | Phillip John Stephan | Plastic Surgery | 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568093037 | North Central Texas Community Health Care Center Inc. | Clinic/Center | 2412 Avenue H, Wichita Falls, TX 76309 | 2020-02-03 |
| 1780814301 | Bestcare Specialty Services, Inc. | Home Health | 3908 Kell Blvd. West, Apt. 236, Wichita Falls, TX 76309 | 2009-07-16 |
| 1316066723 | James Royce Green | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-03-28 |
| 1972604569 | Internal Medicine Associates | Internal Medicine | 1413 Tanglewood Dr, Wichita Falls, TX 76309 | 2006-09-26 |
| 1669888061 | Tools for Success Coaching, Counseling & Consulting Pllc | Registered Nurse | 3100 10th St, Wichita Falls, TX 76309 | 2014-07-07 |
| 1982897724 | Rr Recovery, LLC | Substance Abuse Rehabilitation Facility | 2501 Taylor St, Wichita Falls, TX 76309 | 2007-08-24 |
| 1932399581 | Erica Coe Goss | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-07-30 |
| 1831316694 | Michael W. Spiller Jr. | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-04-20 |
| 1417126756 | Patricia Nau Kennedy | Counselor | 1601 Brazos St, Wichita Falls, TX 76309-1423 | 2008-02-20 |
| 1245473883 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 3811 Seymour Hwy, Wichita Falls, TX 76309-1601 | 2009-04-13 |
| Find all providers in zip 76309 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075323 | Irvingverse Iom LLC | Specialist/Technologist, Other | 803 Little Cub Way, Euless, TX 76039 | 2018-12-26 |
| 1346751039 | Sergio Nmn Villarreal | Specialist/Technologist, Other | 3505 San Esteban St, Mission, TX 78572-7509 | 2017-10-20 |
| 1457876864 | Fort Worth Csn Monitoring Pllc | Specialist/Technologist, Other | 3516 Ranch View Ter, Fort Worth, TX 76109-3130 | 2017-08-07 |
| 1124564406 | Laura Lopez | Specialist/Technologist, Other | 5511 Pecan Spgs, Apt#10304, San Antonio, TX 78249-5300 | 2017-01-11 |
| 1366999484 | Paul Espeseth | Specialist/Technologist, Other | 7324 Sw Freeway, Suite 1550, Houston, TX 77074 | 2016-09-07 |
| 1578916052 | Derek Demone Evans | Specialist/Technologist, Other | 1132 Highcrest Dr, Burleson, TX 76028-7464 | 2016-07-19 |
| 1194184564 | Monitoring Concepts Iom Group | Specialist/Technologist, Other | 4536 Lovers Lane, Ste 410, Dallas, TX 75225 | 2016-02-15 |
| 1861866915 | Alliance Iom, LLC | Specialist/Technologist, Other | 1801 Royal Ln, 908, Farmers Branch, TX 75229-3179 | 2015-11-30 |
| 1427421874 | Jasmine Payro | Specialist/Technologist, Other | 8657 Star Thistle Dr, Fort Worth, TX 76179-4388 | 2015-11-06 |
| 1275905432 | Synapses Neurowatch Corp | Specialist/Technologist, Other | 111 Boland Street, Ste 211, Ft. Worth, TX 76107-1268 | 2015-10-28 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76309 |
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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.