UNDERAMASK PLLC (NPI# 1548750839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548750839 |
| Entity Type | Organization |
| Organization Name | UNDERAMASK PLLC |
| Practice Address |
8409 Summit Ave Skiatook OK 74070 |
| Mailing Address |
8409 Summit Ave Skiatook OK 74070-5540 |
| Practice Telephone | 9188080583 |
| Mailing Telephone | 9188080583 |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | CHLOEE PSHIGODA (CSFA) |
| Authorized Official Telephone | 9188080583 |
| 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 |
8409 SUMMIT AVE |
| City | SKIATOOK |
| State | OK |
| Zip Code | 74070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386972131 | Cie Chloee Pshigoda | Physician Assistant | 8409 Summit Ave, Skiatook, OK 74070 | 2009-12-04 |
| 1902454549 | Ciec Investments LLC | Physician Assistant | 8409 Summit Ave, Skiatook, OK 74070-5540 | 2019-08-27 |
| 1497139422 | Top Knot Surgical Assisting | Specialist/Technologist, Other | 8409 Summit Ave, Skiatook, OK 74070-5540 | 2015-07-20 |
| 1790103489 | Topknot Surgical Assisting LLC | Specialist/Technologist, Other | 8409 Summit Ave, Skiatook, OK 74070-5540 | 2014-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031819 | Michelle Gaviola | Nurse Practitioner | 14867 Stoney Ridge Ln, Skiatook, OK 74070 | 2020-10-23 |
| 1356823751 | 24 Our Care LLC | Case Management | 15594 Overlook Dr, Skiatook, OK 74070 | 2018-08-31 |
| 1558884643 | Peyton Leigh Patrick | Specialist/Technologist, Other | 11553 West 176th St North, Skiatook, OK 74070 | 2017-07-20 |
| 1578950952 | Jake Landreth, Dc, Inc | Chiropractor | 108 N. Broadway, Skiatook, OK 74070 | 2015-04-23 |
| 1154718807 | Timothy Bushyhead | Family Medicine | 1501 W Rogers Blvd, Skiatook, OK 74070 | 2015-04-21 |
| 1508280413 | Tiffany Sybille Turner | Speech-Language Pathologist | 3920 E 142nd Pl N, Skiatook, OK 74070 | 2014-02-12 |
| 1073831178 | Deborah Kay Pattillo | Marriage & Family Therapist | 5801 West 168 Street North, Skiatook, OK 74070 | 2010-05-13 |
| 1356525943 | Pedro M Soto | Denturist | 4996 1/2 W Rogers Blvd, Skiatook, OK 74070 | 2007-12-19 |
| 1265586119 | Cory L Hicks | Chiropractor | 1529 W Rogers Blvd, Suite C Lakeside Chiropractic Clinic, Skiatook, OK 74070 | 2007-01-22 |
| 1245579937 | Ok Compounding | Pharmacy | 102 Broadway, Skiatook, OK 74070 | 2013-01-31 |
| Find all providers in zip 74070 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386972131 | Cie Chloee Pshigoda | Physician Assistant | 8409 Summit Ave, Skiatook, OK 74070 | 2009-12-04 |
| 1902454549 | Ciec Investments LLC | Physician Assistant | 8409 Summit Ave, Skiatook, OK 74070-5540 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779206 | John Nelson Lazenby IIi | Physician Assistant | 4 E Clark Bass Blvd Ste 302, Mcalester, OK 74501-4269 | 2020-01-20 |
| 1578025094 | Shawna Rose Liszewski | Physician Assistant | 6767 S Yale Ave Ste A, Tulsa, OK 74136-3302 | 2019-04-03 |
| 1417418666 | Andrea J Caygill | Physician Assistant | 216 N 20th St, Collinsville, OK 74021-1605 | 2019-03-29 |
| 1093290132 | Nisha Panta | Physician Assistant | 4120 W Memorial Rd # 300, Oklahoma City, OK 73120-9322 | 2018-09-25 |
| 1265920565 | Elite Surgical Assisting, LLC | Physician Assistant | 2924 S 98th East Ave, Tulsa, OK 74129-4407 | 2018-04-23 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1104216662 | Morgan Hanni | Physician Assistant | 3520 Nw 20th St, Oklahoma City, OK 73107-2818 | 2015-02-04 |
| 1790103455 | A Cut Above Surgical Assisting LLC | Physician Assistant | 6313 E Commercial St, Broken Arrow, OK 74014-6981 | 2014-03-31 |
| 1518204056 | Dustin William Tims | Physician Assistant | 11317 S Western Ave Ste 300, Oklahoma City, OK 73170-5848 | 2013-01-03 |
| 1265797781 | Rebecca Lynn Painter | Physician Assistant | 9915 E 82nd Pl, Tulsa, OK 74133-4557 | 2012-07-10 |
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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.