ELITE SURGICAL ASSISTING, LLC (NPI# 1265920565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265920565 |
| Entity Type | Organization |
| Organization Name | ELITE SURGICAL ASSISTING, LLC |
| Practice Address |
2924 S 98th East Ave Tulsa OK 74129-4407 |
| Practice Telephone | 9183617366 |
| Mailing Telephone | 9183617366 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | BROOKE JAVON DENTON (CERTIFIED SURGICAL FIRST ASSISTANT) |
| Authorized Official Telephone | 9183617366 |
| Authorized Official Credential | CSFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2924 S 98TH EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74129-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114405594 | Go2therapy LLC | Counselor | 6931 E 31st Street, Unit 31, Tulsa, OK 74129 | 2018-07-30 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1952459489 | Cleartone Hearing Aid Laboratories Inc | Hearing Instrument Specialist | 2323 South Sheridan, Tulsa, OK 74129 | 2007-01-08 |
| 1407879422 | Lonnie F Morris | Psychiatry & Neurology | 2316 S. Garnett, Suite E, Tulsa, OK 74129 | 2006-07-25 |
| 1902876360 | Carla Jean Pohl | Advanced Practice Midwife | 2815 S Sheridan Rd, Tulsa, OK 74129 | 2006-01-26 |
| 1710458856 | Brittany Paige Watkins | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-12-16 |
| 1043799968 | Latosha Renee | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-08-10 |
| 1285128710 | Amanda Danielle Woods-roberts | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-18 |
| 1407349129 | Terri Lynne Ross | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-07 |
| 1225529449 | Sydney Herburger | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-05-23 |
| Find all providers in zip 74129 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025094 | Shawna Rose Liszewski | Physician Assistant | 6767 S Yale Ave Ste A, Tulsa, OK 74136-3302 | 2019-04-03 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1265797781 | Rebecca Lynn Painter | Physician Assistant | 9915 E 82nd Pl, Tulsa, OK 74133-4557 | 2012-07-10 |
| 1003417411 | Erin Haley Sims | Physician Assistant | 6465 S Yale Ave Ste 101, Tulsa, OK 74136-7803 | 2020-11-03 |
| 1134779341 | Jarret Dwight Keller | Physician Assistant | 6767 S Yale Ave Ste A, Tulsa, OK 74136-3302 | 2019-09-19 |
| 1891253431 | Amy Nichole Ingham | Physician Assistant | 6161 S Yale Ave, Tulsa, OK 74136-1992 | 2019-03-02 |
| 1568984425 | Paramount Surgical Assisting | Physician Assistant | 9915 E 82nd Pl, Tulsa, OK 74133-4557 | 2017-07-12 |
| 1003352543 | Anne Claire Edmonds | Physician Assistant | 6565 S Yale Ave Ste 1200, Tulsa, OK 74136-8313 | 2017-01-09 |
| 1477971315 | The Orthopaedic Center | Physician Assistant | 8803 S 101st East Ave, Suite 100, Tulsa, OK 74133-5726 | 2014-03-28 |
| 1891129292 | Bryce Owen Wright | Physician Assistant | 6465 S Yale Ave Ste 910, Tulsa, OK 74136 | 2013-08-21 |
| Find all providers in TULSA | ||||
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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.