EIDER DANIEL ECHEMENDIA SIMON (NPI# 1912555376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912555376 |
| Entity Type | Individual |
| Full Name | EIDER DANIEL ECHEMENDIA SIMON |
| Practice Address |
3 Maryland Farms Ste 200 Brentwood TN 37027-5780 |
| Practice Telephone | 6153468733 |
| Practice Fax Number | 8884686603 |
| Mailing Telephone | 6153468733 |
| Mailing Fax Number | 8884686603 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| 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 |
| Street Address |
3 MARYLAND FARMS STE 200 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-5780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063400281 | Bryan D. Borsum | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2005-10-11 |
| 1891394383 | Monika Murray | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-10-26 |
| 1174123608 | Ralph Landon Shoemaker | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-10-26 |
| 1164021994 | Alexia Jacobs | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-10-22 |
| 1508473323 | Megan Neckelmann | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-09-25 |
| 1861009698 | Rachel Rayl | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-09-25 |
| 1528670338 | Nelson Mujica | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-08-21 |
| 1447862859 | Nassour Kheir | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-08-18 |
| 1104437698 | Scott Evenson | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-08-10 |
| 1992314934 | Brody Blackburn | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| 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 |
|---|---|---|---|---|
| 1528670338 | Nelson Mujica | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-08-21 |
| 1447862859 | Nassour Kheir | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-08-18 |
| 1528611498 | Susan Angelica Lopez | Specialist/Technologist, Other | 31 Oak St, Brentwood, NY 11717-3824 | 2019-07-19 |
| 1518522481 | Viktor Demus | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2019-05-07 |
| 1275196347 | Cosimo Eduardo Angelini Sr. | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2019-04-15 |
| 1710540893 | Isel Amado Blanco | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2019-04-15 |
| 1538621123 | Ivan Nemov | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2019-04-02 |
| 1770044364 | Carlos Caballero | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2019-03-27 |
| 1649642356 | Raul Eduardo Cosio | Specialist/Technologist, Other | 214 Centerview Dr, Suite 100, Brentwood, TN 37027-5274 | 2015-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092872 | Juan Carlos Zuluaga Bedoya | Specialist/Technologist, Other | 6885 Club Ridge Cir Apt 87, Memphis, TN 38115-7327 | 2020-01-26 |
| 1255802062 | Richard Charles Will Jr. | Specialist/Technologist, Other | 129 Paradise Dr, Hendersonville, TN 37075-4236 | 2018-12-06 |
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1821508094 | Jonathan Burkett | Specialist/Technologist, Other | 1168 Cynthia Ln, Spring Hill, TN 37174-4519 | 2017-10-02 |
| 1104346493 | Joseph Gary Robinson | Specialist/Technologist, Other | 4506 Polaris Dr, Chapelhill, TN 37034-2461 | 2017-06-27 |
| 1912437336 | Karl Robbins | Specialist/Technologist, Other | 8266 Beech Hill Rd, Frankewing, TN 38459-5059 | 2017-06-18 |
| 1659810521 | Lasundra Caslin | Specialist/Technologist, Other | 1711 Ray Jo Cir, Chattanooga, TN 37421-3370 | 2017-02-13 |
| 1902352172 | Jay Patrick Grayson | Specialist/Technologist, Other | 114 E Mcguire St, Bell Buckle, TN 37020-6052 | 2016-08-28 |
| 1033590906 | Robert Michael Frank | Specialist/Technologist, Other | 105 Noble Ct, Murfreesboro, TN 37128-3754 | 2015-06-16 |
| 1366833949 | Amber Cunningham | Specialist/Technologist, Other | 1117 Clift Cave Rd, Soddy Daisy, TN 37379-5706 | 2015-02-18 |
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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.