MIRANDA MALLICOAT – NPI #1487309290
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.

MIRANDA MALLICOAT is a technologist located in LOUISVILLE, KY. NPPES has assigned the NPI number 1487309290 to MIRANDA MALLICOAT on February 21, 2022. 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 4 years ago on Mar 09, 2022. 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 MIRANDA MALLICOAT below.

NPI Profile for
MIRANDA MALLICOAT

NPI Number
1487309290
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MIRANDA MALLICOAT
Primary location
3900 KRESGE WAY STE 51
LOUISVILLE, KY 40207-4683
Phone: (502) 259-5955 Fax:
1 Other location(s):
1919 State St Ste 250
New Albany, IN 47150-6805
Phone: (812) 949-5933
Mailing address
5200 COMMERCE CROSSINGS DR FL 3
LOUISVILLE, KY 40229-2182
Phone: (502) 253-4924 Fax: (502) 489-5750
Sole Proprietor
Yes
Updated
Certification Date
Mar 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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)
KY TSA026
208600000X
- Surgery
KY TSA026

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.