Andrea Nicole Pennington-peace
Specialist/Technologist, Other (Surgical Assistant)

Address: 1935 Medial District, Dallas, TX 75235
Phone: 2144562022

Andrea Nicole Pennington-peace (NPI# 1255869335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1255869335
Entity Type Individual
Full Name Andrea Nicole Pennington-peace
Credential CSA
Gender Female
Practice Address 1935 Medial District
TX 75235
Practice Telephone 2144562022
Mailing Address 223 Sandy Way
Red Oak
TX 75154-6550
Mailing Telephone 2147045474
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2017-06-01
Last Update Date 2017-06-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 246ZC0007X Specialist/Technologist, Other · Surgical Assistant Technologists, Technicians & Other Technical Service Providers 4694 TX

Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

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] Additional Resources: National Surgical Assistant Association,

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1780296814 Caleb Colon Specialist/Technologist, Other 11936 Ravenview Rd, Dallas, TX 75253-2923 2020-08-19
1134752595 Benchmark Surgical Assist Specialist/Technologist, Other 5510 Abrams Rd Ste 119a, Dallas, TX 75214-2099 2020-02-13
1093359101 Aaron Helping Hands LLC Specialist/Technologist, Other 1121 Beachview St Apt 1302, Dallas, TX 75218-4613 2019-10-31
1285284083 Misty M Denney Specialist/Technologist, Other 1222 Commerce St Apt 1111, Dallas, TX 75202-4373 2019-09-13
1932699295 Elizabeth Rodriguez Vargas Specialist/Technologist, Other 15905 Bent Tree Forest Cir Apt 1093, Dallas, TX 75248-3402 2018-05-12
1538665849 Jose Manuel Roberti Moccia Specialist/Technologist, Other 9182 Forest Ln Apt 210, Dallas, TX 75243-8939 2018-04-04
1104362789 Johnny F Sanchez Sepulveda Specialist/Technologist, Other 13250 Emily Rd, Apt 806, Dallas, TX 75240-5977 2017-01-06
1447606553 Javier Neuman Specialist/Technologist, Other 1333 N Peak St Apt 7200, Dallas, TX 75204-6704 2016-05-06
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Office Location

Street Address 1935 MEDIAL DISTRICT
State TX
Zip Code 75235

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265058895 Kailey Elaine Flowers Physical Therapy Assistant 2400 Empire Central Drive, Suite B, Dallas, TX 75235 2020-06-19
1265061071 Bella Xinyi O'malley Student in an Organized Health Care Education/Training Program 1935 Medical Drive, Dallas, TX 75235 2020-04-03
1427687318 Can Ozlu Student in an Organized Health Care Education/Training Program Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 2020-04-03
1689137515 Tarek Mansi Student in an Organized Health Care Education/Training Program 2222 Medical District Dr Apt 4325, Dallas, TX 75235 2019-04-08
1386117125 Christine Elizabeth Smith Physician Assistant 8134 Tex Oak Avenue, Dallas, TX 75235 2019-01-04
1447720016 Michelle Angelina Dye Physician Assistant 5959 Maple Avenue Apt 1171, Dallas, TX 75235 2018-11-27
1194258152 Tricia Rood Student in an Organized Health Care Education/Training Program 5200 Harry Hines Blvd., Dallas, TX 75235 2017-04-06
1437690971 Robin Lee Counselor 8915 Hrry Hines Blvd, Dallas, TX 75235 2017-03-16
1871033746 Javier Davila-lopez Counselor 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 2017-02-27
1922453455 Denise Wilson Social Worker 8625 King George Dr. Suite 111, Dallas, TX 75235 2016-05-03
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Zip Code 75235

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Dataset Information

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.