MISS MIKA LARAY MCKINNEY (NPI# 1700441136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700441136 |
| Entity Type | Individual |
| Full Name | MISS MIKA LARAY MCKINNEY |
| Credential | CSFA |
| Practice Address |
3733 N Business Dr Ste 101 Fayetteville AR 72703-5286 |
| Mailing Address |
496 N Coral Canyon Loop Apt 200 Fayetteville AR 72704-6297 |
| Practice Telephone | 4794435476 |
| Mailing Telephone | 9187747255 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2710 S Rife Medical Ln, Rogers, AR 727581452 | 4793388000 |
| Street Address |
3733 N BUSINESS DR STE 101 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-5286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093907339 | Taylor Surgery Center, LLC | Clinic/Center | 3733 N Business Dr Ste 101, Fayetteville, AR 72703-5286 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| 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 |
|---|---|---|---|---|
| 1043852197 | James Hoffman | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2019-10-10 |
| 1932670569 | Alfredo Benarroch | Specialist/Technologist, Other | 6809 Jacobs Creek Cir, Fayetteville, NC 28306-4562 | 2018-12-07 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1871692517 | Anthony J Robinson | Specialist/Technologist, Other | 145 Forest Hall Ln, Fayetteville, GA 30214-4025 | 2006-09-21 |
| 1487266144 | Casse Carpenter | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2020-08-23 |
| 1881202901 | Chantel Davis | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 1447878178 | Tonya Lakeshia Washington | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-09 |
| 1366067431 | Wayne Thomas | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2020-06-14 |
| 1194345033 | Yolanda C Mcghee | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2020-04-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MISS MIKA LARAY MCKINNEY.
| 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.