JACQUE A. BOUTWELL, JR. CFA – NPI #1013062405
Specialist/Technologist, Other
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.
JACQUE BOUTWELL, JR. is a technologist located in ELKHART, IN. NPPES has assigned the NPI number 1013062405 to JACQUE BOUTWELL, JR. on January 24, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246ZC0007X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Surgical Assistant
The NPI profile was previously updated about 12 years ago on Nov 25, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACQUE BOUTWELL, JR. below.
NPI Profile for
JACQUE A. BOUTWELL, JR.
(more than 19 years ago)
ELKHART, IN 46514-7673 Phone: (574) 214-7504 Fax: (574) 262-3214
CHICAGO, IL 60686-0001 Phone: (574) 214-7504 Fax: (574) 262-3214
Identifiers for JACQUE BOUTWELL, JR.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | ANTHEM BCBS | IN | 000000577411 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 246ZC0007X - Specialist/Technologist, Other / Surgical Assistant (Primary) |
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| 246ZS0410X - Specialist/Technologist, Other / Surgical Technologist |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.