MS. KRISTIN GAI FEDOROV (NPI# 1841733680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841733680 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN GAI FEDOROV |
| Credential | SA-C |
| Practice Address |
5015 Dillard Rd Eugene OR 97405-4404 |
| Practice Telephone | 5419990306 |
| Mailing Telephone | 5419990306 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5015 DILLARD RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| 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 |
|---|---|---|---|---|
| 1801253729 | Julian Haas | Specialist/Technologist, Other | 1150 Darlene Ln Apt 151, Eugene, OR 97401-1109 | 2016-01-22 |
| 1023262995 | Jacob Nathanael Martinez | Specialist/Technologist, Other | 3410 Merryvale Rd, Eugene, OR 97404-3870 | 2008-11-05 |
| 1538316963 | Deborah Ann Turner | Specialist/Technologist, Other | 2135 Carmel Ave, Eugene, OR 97401-5178 | 2008-08-27 |
| 1922624741 | Amelia T Devereaux | Specialist/Technologist, Other | 55 Coburg Rd, Eugene, OR 97401-2433 | 2020-06-17 |
| 1790153179 | Kirk Stehle | Specialist/Technologist, Other | 55 Coburg Rd, Eugene, OR 97401-2433 | 2015-09-02 |
| 1083949697 | Shawna M. Jensen | Specialist/Technologist, Other | 55 Coburg Rd, Eugene, OR 97401-2433 | 2009-10-15 |
| 1760628796 | Wolfredrick Mcmichael | Specialist/Technologist, Other | 55 Coburg Rd, Eugene, OR 97401-2433 | 2008-12-22 |
| 1245475136 | Scott A Bailor | Specialist/Technologist, Other | 55 Coburg Rd, Eugene, OR 97401-2433 | 2008-12-08 |
| 1407091291 | Damen L Sanchez | Specialist/Technologist, Other | 55 Coburg Rd, Eugene, OR 97401-2433 | 2008-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224325 | Shon Patrick Hueth | Specialist/Technologist, Other | 6796 Ivy St, Springfield, OR 97478-7355 | 2020-04-24 |
| 1962022566 | Tl Surgical Assistants | Specialist/Technologist, Other | 13720 Sw 24th St, Beaverton, OR 97008-5055 | 2020-04-23 |
| 1427696244 | Colleen Marie Pennington | Specialist/Technologist, Other | 87936 Limpit Ln, Florence, OR 97439-9053 | 2019-12-11 |
| 1457744690 | Sheila Marie Snyder | Specialist/Technologist, Other | 86462 Rose Hill Rd, Florence, OR 97439-9222 | 2015-03-12 |
| 1902191513 | Jennifer Tickner | Specialist/Technologist, Other | 10152 Silverton Rd Ne, Silverton, OR 97381-9306 | 2011-06-10 |
| 1205153715 | David Joseph Brown | Specialist/Technologist, Other | 14835 Monitor Mckee Rd Ne, Mount Angel, OR 97362-9643 | 2010-04-23 |
| 1962728790 | Martindale Csfa | Specialist/Technologist, Other | 6414 Honeywood Ct Ne, Keizer, OR 97303-1187 | 2010-04-19 |
| 1861640740 | Jason Rhoades | Specialist/Technologist, Other | 1152 S 39th St, Springfield, OR 97478-9552 | 2008-09-03 |
| 1750538864 | Robin Jay Edwards | Specialist/Technologist, Other | 82090 Bear Creek Rd, Creswell, OR 97426 | 2008-08-20 |
| 1245406883 | Richard A Millsap | Specialist/Technologist, Other | 1951 Se Arborwood Ave, Bend, OR 97702-2374 | 2008-05-04 |
| Find all providers with the same taxonomy | ||||
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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.