DEANGELA ROBERSON (NPI# 1992278196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992278196 |
| Entity Type | Individual |
| Full Name | DEANGELA ROBERSON |
| Credential | SA |
| Practice Address |
1212 N. Lasalle Ste 100/ Surgery Center Chicago IL 60610 |
| Mailing Address |
3580 School Dr Country Club Hills IL 60478-4986 |
| Practice Telephone | 3129437246 |
| Mailing Telephone | 7084390652 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| 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 |
1212 N. LASALLE STE 100/ SURGERY CENTER |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| 1356894802 | Susan Matz Rizzato | Social Worker | 900 N Kingsbury St Ste Rw-6, Chicago, IL 60610 | 2016-08-02 |
| Find all providers in zip 60610 | ||||
| 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 |
|---|---|---|---|---|
| 1649896606 | Eric Dupaya | Specialist/Technologist, Other | 6432 S Eberhart Ave, Chicago, IL 60637-3325 | 2020-06-24 |
| 1508482027 | Juan Carlos Diaz | Specialist/Technologist, Other | 1433 W Flournoy St Apt 3f, Chicago, IL 60607-3213 | 2020-06-20 |
| 1154835130 | Jose Miguel Rodriguez Oquendo | Specialist/Technologist, Other | 505 W Belmont Ave Apt 5m, Chicago, IL 60657-6824 | 2017-11-29 |
| 1588108815 | Sekondi James | Specialist/Technologist, Other | 6141 S Maplewood Ave, Chicago, IL 60629-1621 | 2016-12-05 |
| 1043686165 | Felipe Villalobos | Specialist/Technologist, Other | 2724 N Marmora Ave, Chicago, IL 60639-1220 | 2015-08-12 |
| 1144637190 | Carlos Gabriel Fiorito | Specialist/Technologist, Other | 1360 N Sandburg Ter Apt 1003, Chicago, IL 60610-6089 | 2014-07-22 |
| 1013251479 | Andriy Strelkin | Specialist/Technologist, Other | 830 N Washtenaw Ave, Chicago, IL 60622-4787 | 2012-11-23 |
| 1386975514 | Stat Surgical Assist | Specialist/Technologist, Other | 2611 W Crystal St, Chicago, IL 60622-2813 | 2010-01-28 |
| 1629619127 | Camio Inc | Specialist/Technologist, Other | 830 N Washtenaw Ave, Chicago, IL 60622-4787 | 2019-10-05 |
| 1932664992 | Ontario Street Surgical Assistants LLC | Specialist/Technologist, Other | 22 W Ontario St, Chicago, IL 60654 | 2019-02-04 |
| Find all providers in CHICAGO | ||||
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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.