KLE SURGICAL ASSISTING, LLC (NPI# 1861911083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861911083 |
| Entity Type | Organization |
| Organization Name | KLE SURGICAL ASSISTING, LLC |
| Practice Address |
7301 E Nashville St Broken Arrow OK 74014-2980 |
| Practice Telephone | 9185952331 |
| Practice Fax Number | 9188931592 |
| Mailing Telephone | 9185952331 |
| Mailing Fax Number | 9188931592 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2019-02-02 |
| Authorized Official Name | MRS. KATIE LEIGH ELLIOTT (CSFA) |
| Authorized Official Telephone | 9185952331 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7301 E Nashville St, Broken Arrow, OK 740142980 | 9185952331 | 9188931592 |
| Street Address |
7301 E NASHVILLE ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-2980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| 1467606277 | Brian J Hamilton | Registered Nurse | 6903 S310e Ave, Broken Arrow, OH 74014 | 2008-11-06 |
| Find all providers in zip 74014 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790103455 | A Cut Above Surgical Assisting LLC | Physician Assistant | 6313 E Commercial St, Broken Arrow, OK 74014-6981 | 2014-03-31 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1508909854 | Amy E. Hefley | Physician Assistant | 1300 W Elmira Pl, Broken Arrow, OK 74012-0889 | 2007-02-15 |
| 1225546906 | Tyler Young | Physician Assistant | 800 W Boise Cir, Ste 280, Broken Arrow, OK 74012-4954 | 2018-01-17 |
| 1407274160 | Cutting Edge Surgical Assistants LLC | Physician Assistant | 1300 W Elmira Pl, Broken Arrow, OK 74012-0889 | 2014-03-31 |
| 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 |
| 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 |
| 1710282660 | Amir Raza | Physician Assistant | 925 Ne 13th Street, Cho 2mr2000d, Oklahoma City, OK 73104-5068 | 2011-01-24 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74014 |
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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.