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JAKOB A DEVORE LSA
NPI 1245686518
Specialist/Technologist, Other - Surgical Assistant in Fort Worth, TX

Active since May 05, 2016
5309 CORN FIELD DR, FORT WORTH, TX 76179(214) 227-2457(214) 764-0880 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jakob A Devore Lsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKOB A DEVORE LSA (NPI 1245686518) is an individual surgical assistant in Fort Worth, Texas, licensed in Texas (SA00729) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1245686518
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameJAKOB A DEVORECredential: LSA
Location Address5309 CORN FIELD DRFort Worth, TX 76179-8163
Mailing Address5309 Corn Field DrFort Worth, TX 76179-8163 · (214) 227-2457 · Fax (214) 764-0880
Phone(214) 227-2457
Fax(214) 764-0880
Sole ProprietorYes
Enumeration DateMay 5, 2016
Last NPPES UpdateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1245686518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in TX · SA00729
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.
Also ListedSpecialist/Technologist, Other · Surgical TechnologistTaxonomy 246ZS0410X · License 142172 (KS)
5309 CORN FIELD DR, Fort Worth, TX 76179
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Other Names 1

Other Name (5)Jake A Devore Lsa

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CUTTING EDGE FIRST ASSIST, INC
Specialist/Technologist, Other (Surgical Assistant)
5309 CORN FIELD DR
FORT WORTH, TX 76179
Tarrant County (214) 227-2457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jakob Devore's NPI number?

The NPI number for Jakob Devore is 1245686518. It was assigned to this individual provider in the NPPES registry on May 5, 2016. The provider is also known as Jake A Devore Lsa.

Where is Jakob Devore located?

Jakob Devore practices at 5309 Corn Field Dr, Fort Worth, TX 76179. The listed phone number is (214) 227-2457.

What is Jakob Devore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Jakob Devore was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.