JESSE GULISH (NPI# 1225452550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225452550 |
| Entity Type | Individual |
| Full Name | JESSE GULISH |
| Credential | OPA |
| Practice Address |
205 Hospital Dr Ste A Mc Kenzie TN 38201-1649 |
| Practice Telephone | 7313527907 |
| Practice Fax Number | 7313524459 |
| Mailing Telephone | 7313527907 |
| Mailing Fax Number | 7313524429 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 820 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
820 | TN | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZX2200X |
Specialist/Technologist, Other Specialization: Orthopedic Assistant |
820 | TN | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3380640 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1015 Kelley Dr, Paris, TN 382425819 | 7316442271 |
| Street Address |
205 HOSPITAL DR STE A |
| City | MC KENZIE |
| State | TN |
| Zip Code | 38201-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809718 | David Christopher Martin | Family Medicine | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2005-05-24 |
| 1013544576 | Hollie Frazier | Nurse Practitioner | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2020-03-25 |
| 1245894724 | Gyu Chang Jo | Nurse Practitioner | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 | 2019-04-30 |
| 1386148211 | Shelby Jo Priddy Chapman | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2018-03-23 |
| 1003353699 | Keliea Ann Winstead | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2017-01-21 |
| 1063867950 | Daniel Patrick Brown | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2016-04-28 |
| 1417203217 | Cynthia H Laux | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2012-07-30 |
| 1790063212 | Leslie Leeann Ellis | Nurse Practitioner | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2011-08-01 |
| 1144483090 | Bertha Izaura Robles | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2008-07-09 |
| 1699721092 | Joseph Robert Hames | Emergency Medicine | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2006-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912410887 | Tester Chiropractic, Pllc | Chiropractor | 62 Hospital Dr, Mc Kenzie, TN 38201 | 2017-11-14 |
| 1669910907 | Sherry Denise Connell | Behavioral Analyst | 145 Bethel Court, Bethel Autism Institute, Mckenzie, TN 38201 | 2017-02-07 |
| 1891249645 | Jennifer Rene Jennings | Nurse Practitioner | 205 Hospital Drive, Suite A, Mckenzie, TN 38201 | 2016-08-10 |
| 1336525211 | One Chiropractic, Pllc | Chiropractor | 62 Hospital Dr., Mckenzie, TN 38201 | 2015-08-03 |
| 1538567367 | Ashley Tester | Chiropractor | One Chiropractic, 62 Hospital Drive, Mckenzie, TN 38201 | 2014-12-10 |
| 1407996762 | Trent Wade Borders | Radiology | 205 Hospital Drvie, Suite A, Mckenzie, TN 38201 | 2007-02-07 |
| 1740382944 | James D Padgett | Dentist | 1934 Cedar Sta, Mckenzie, TN 38201 | 2006-09-01 |
| 1164533733 | Ambulance Services of Mckenzie, Inc. | Ambulance | 161 Hospital Drive, Mckenzie, TN 38201 | 2006-08-31 |
| 1194244772 | Christian Care Center of Mckenzie LLC | Nursing Facility/Intermediate Care Facility | 150 Oak Manor Rd, Mc Kenzie, TN 38201 | 2017-09-14 |
| 1023243532 | Ginger Lynn Oliver | Speech-Language Pathologist | 125 Hospital Drive, Mckenzie, TN 38201 | 2009-05-28 |
| Find all providers in zip 38201 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | 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 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. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092872 | Juan Carlos Zuluaga Bedoya | Specialist/Technologist, Other | 6885 Club Ridge Cir Apt 87, Memphis, TN 38115-7327 | 2020-01-26 |
| 1255802062 | Richard Charles Will Jr. | Specialist/Technologist, Other | 129 Paradise Dr, Hendersonville, TN 37075-4236 | 2018-12-06 |
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1821508094 | Jonathan Burkett | Specialist/Technologist, Other | 1168 Cynthia Ln, Spring Hill, TN 37174-4519 | 2017-10-02 |
| 1104346493 | Joseph Gary Robinson | Specialist/Technologist, Other | 4506 Polaris Dr, Chapelhill, TN 37034-2461 | 2017-06-27 |
| 1912437336 | Karl Robbins | Specialist/Technologist, Other | 8266 Beech Hill Rd, Frankewing, TN 38459-5059 | 2017-06-18 |
| 1659810521 | Lasundra Caslin | Specialist/Technologist, Other | 1711 Ray Jo Cir, Chattanooga, TN 37421-3370 | 2017-02-13 |
| 1902352172 | Jay Patrick Grayson | Specialist/Technologist, Other | 114 E Mcguire St, Bell Buckle, TN 37020-6052 | 2016-08-28 |
| 1033590906 | Robert Michael Frank | Specialist/Technologist, Other | 105 Noble Ct, Murfreesboro, TN 37128-3754 | 2015-06-16 |
| 1366833949 | Amber Cunningham | Specialist/Technologist, Other | 1117 Clift Cave Rd, Soddy Daisy, TN 37379-5706 | 2015-02-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.