DARTHVADER DEVON WILLIAMSON RSA
NPI 1972166114
Specialist/Technologist, Other - Surgical Assistant in Bartlett, TN

NPI Status: Active since April 14, 2019

Contact Information

2986 KATE BOND RD
BARTLETT, TN
ZIP 38133
Phone: (901) 820-7468

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  • Individual
  • Male
  • Specialist/Technologist, Other
  • Surgical Assistant

About DARTHVADER WILLIAMSON

This page provides the complete NPI Profile along with additional information for Darthvader Williamson, a provider established in Bartlett, Tennessee with a medical specialization in Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1972166114 assigned on April 2019. The practitioner's primary taxonomy code is 246ZC0007X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1972166114
Provider Name
DARTHVADER DEVON WILLIAMSON RSA
Gender
Male
Entity Type
Individual
Location Address
2986 KATE BOND RD BARTLETT, TN 38133
Location Phone
(901) 820-7468
Mailing Address
13560 HIGHWAY 196 EADS, TN 38028
Is Sole Proprietor?
Yes
Enumeration Date
04-14-2019
Last Update Date
04-14-2019
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist, Other Surgical Assistant

Taxonomy Code
246ZC0007X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1246ZC0007XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other
Surgical Assistant

MAS0000000047 (TN)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972166114
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142261212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 2 + 6 + 1 + 2 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1972166114 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730137159WOLF CHASE EMERGENCY PHYSICIANS
Organization
Emergency Medicine2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7750
1386692754TENNESSEE EM-I MEDICAL SERVICES, PC
Organization
Emergency Medicine2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7750
1790730331DR. SAID ELIAS M.D.
Individual
Internal Medicine2986 KATE BOND RD
BARTLETT, TN 38133
(901) 765-1000
1972628733MEMPHIS EMERGENCY ROOM GROUP, PLLC
Organization
Emergency Medicine2986 KATE BOND RD
BARTLETT, TN 38133
(901) 861-0355
1669810248MRS. OLAYINKA ELIZABETH.O THOMAS
Individual
Registered Nurse (Medical-Surgical)2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7000
1154769396 HOLLY KAY WAGNER
Individual
Registered Nurse2986 KATE BOND RD
BARTLETT, TN 38133
(901) 491-2692
1013919851DR. WILLIAM D WILCOX MD
Individual
Emergency Medicine2986 KATE BOND RD
BARTLETT, TN 38133
(901) 377-8727
1710046636DR. WAYNE DARRELL MURRAY M.D.
Individual
Pediatrics2986 KATE BOND RD
MEMPHIS, TN 38133
(901) 820-7000
1760882054EAST MEMPHIS PULMONARY CARE
Organization
Internal Medicine (Critical Care Medicine)2986 KATE BOND RD
BARTLETT, TN 38133
(901) 681-9895
1467721209 ERIN L FONVILLE MSOT, CPAM, OTR/L
Individual
Occupational Therapist2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7430
1295131738 SHARON RAYFORD PTA
Individual
Physical Therapy Assistant2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7430
1245637461 TENIEKA JONES
Individual
Physical Therapist2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7430
1780049304DR. EMMA GANT PHARMD
Individual
Pharmacist2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7000
1578979084MRS. CARYN DESIREE SPELLINGS APN
Individual
Nurse Practitioner (Family)2986 KATE BOND RD EMERGENCY ROOM
BARTLETT, TN 38133
(901) 734-6417
1639124266DR. EDUARDO C CABIGAO M.D.
Individual
Emergency Medicine2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7750
1265652440 ALLISON SWEARINGEN
Individual
Physical Therapist2986 KATE BOND RD
BARTLETT, TN 38133
(901) 382-6286
1982104550 MARTHA HOPPER
Individual
Physical Therapist2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7073
1477055077MS. TARYN GRAVES
Individual
Physical Therapist2986 KATE BOND RD
BARTLETT, TN 38133
(901) 382-6280
1265934806 KIMBERLY ANN CUCCIA
Individual
Physical Medicine & Rehabilitation2986 KATE BOND RD
BARTLETT, TN 38133
(901) 382-6280
1265919005KEJAC VENTURES LLC
Organization
Internal Medicine2986 KATE BOND RD
BARTLETT, TN 38133
(901) 820-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972166114, enumerated in the NPI registry as an "individual" on April 14, 2019

The provider is located at 2986 Kate Bond Rd Bartlett, Tn 38133 and the phone number is (901) 820-7468

The provider's speciality is Specialist/Technologist, Other with taxonomy code 246ZC0007X with a focus in Surgical Assistant

This NPI record was last updated on April 14, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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