Individual provider · Type 1 NPI

Jacques Emile Bussiere, CSA

Surgical Assistant · Waldorf, MD

NPI number 1366917627 Active

Practice location

2453 Kenbrook Ct
Waldorf, MD 20603-3227

Mailing address

PO Box 221135
Chantilly, VA 20153-1135

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007XNone listed

Surgical Assistant: 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 h…

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About NPI 1366917627

Jacques Emile Bussiere, CSA's National Provider Identifier is 1366917627, issued on Oct 12, 2018. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Waldorf, MD. The record was last updated on May 15, 2026.