TEXARKANA SURGICAL FIRST ASSISTANT PLLC (NPI# 1831211317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831211317 |
| Entity Type | Organization |
| Organization Name | TEXARKANA SURGICAL FIRST ASSISTANT PLLC |
| Practice Address |
2600 Saint Michael Dr Texarkana TX 75503-2372 |
| Mailing Address |
Po Box 11219 Fort Worth TX 76110-0219 |
| Practice Telephone | 9036141000 |
| Mailing Telephone | 8172947444 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | MS. WENDY GORDON (LSA) |
| Authorized Official Telephone | 8172947444 |
| Authorized Official Credential | LSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
SA00281 | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE NUMBER | SA00281 | 01 |
| TX | BCBSTX | 0055FL | 01 |
| Street Address |
2600 SAINT MICHAEL DR |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410637 | Jayendra D. Patel | Internal Medicine | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2005-07-08 |
| 1629682802 | Emily Rupp | Physical Medicine & Rehabilitation | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-09-03 |
| 1275168098 | Megan Hawley | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-03-12 |
| 1811521727 | Jennifer White | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-02-29 |
| 1821622002 | Jamie Danielle Hawthorne | Registered Nurse | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2020-02-26 |
| 1417588393 | James Owens | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2020-01-30 |
| 1871052050 | Ian Watson | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2019-03-18 |
| 1972075141 | Joshua Trenton Pinkham | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-12-27 |
| 1467939975 | John Benjamin Harrison | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-26 |
| 1356827935 | Jonathan Miller | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| 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 |
|---|---|---|---|---|
| 1720300361 | Melanie S Reece | Specialist/Technologist, Other | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2010-02-24 |
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|---|---|---|---|---|
| 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 |
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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.