WALTER CORNELIO QUIJADA HENRIQUEZ SA-C
NPI 1265207849
Specialist/Technologist, Other - Surgical Assistant in Smyrna, TN

Active since November 24, 2023
507 DERBY PL, SMYRNA, TN 37167(629) 200-5895 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walter Cornelio Quijada Henriquez Sa-c NPPES

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

WALTER CORNELIO QUIJADA HENRIQUEZ SA-C (NPI 1265207849) is an individual surgical assistant in Smyrna, Tennessee, licensed in Tennessee (23-704) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1265207849
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameWALTER CORNELIO QUIJADA HENRIQUEZCredential: SA-C
Location Address507 DERBY PLSmyrna, TN 37167-5915
Mailing Address507 Derby PlSmyrna, TN 37167-5915 · (629) 200-5895
Sole ProprietorYes
Enumeration DateNovember 24, 2023
NPPES CertifiedNovember 24, 2023
NPI 1265207849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License Licensed in TN · 23-704
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.
507 DERBY PL, Smyrna, TN 37167

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 Walter Quijada Henriquez's NPI number?

The NPI number for Walter Quijada Henriquez is 1265207849. It was assigned to this individual provider in the NPPES registry on November 24, 2023.

Where is Walter Quijada Henriquez located?

Walter Quijada Henriquez practices at 507 Derby Pl, Smyrna, TN 37167. The listed phone number is (629) 200-5895.

What is Walter Quijada Henriquez'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 Walter Quijada Henriquez was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.