MR. DARRELL WAYNE WORTHEM SR. LSA
NPI 1922625920
Specialist/Technologist, Other - Surgical Assistant in Ft Worth, TX

Active since June 25, 2020
801 W SEVENTH ST, FT WORTH, TX 76102(682) 885-4105 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Darrell Wayne Worthem Sr. Lsa NPPES

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

MR. DARRELL WAYNE WORTHEM SR. LSA (NPI 1922625920) is an individual surgical assistant in Ft Worth, Texas, licensed in Texas (SA00816) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1922625920
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMR. DARRELL WAYNE WORTHEM SR.Credential: LSA
Location Address801 W SEVENTH STFt Worth, TX 76102-3510
Mailing Address3500 Daniel DrArlington, TX 76014-3335 · (817) 901-0943
Sole ProprietorYes
Enumeration DateJune 25, 2020
NPPES CertifiedJune 25, 2020
NPI 1922625920 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 TX · SA00816
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.
801 W SEVENTH ST, Ft Worth, TX 76102

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 Darrell Worthem's NPI number?

The NPI number for Darrell Worthem is 1922625920. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Darrell Worthem located?

Darrell Worthem practices at 801 W Seventh St, Ft Worth, TX 76102. The listed phone number is (682) 885-4105.

What is Darrell Worthem'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 Darrell Worthem was last updated on June 25, 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.