Organization Active NPI

Elite Surgical Assisting, LLC

  • Surgical Physician Assistant
  • Tulsa, OK
National Provider Identifier
1265920565
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
ELITE SURGICAL ASSISTING, LLC
Practice address
2924 S 98TH East Ave
Tulsa, OK 74129-4407
Phone
(918) 361-7366
NPI assigned
Apr 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brooke Javon Denton, CSFANPI 1417472259
Title
Certified Surgical First Assistant
Phone
(918) 361-7366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

2924 S 98TH East Ave
Tulsa, OK 74129-4407

Mailing address

2924 S 98TH East Ave
Tulsa, OK 74129-4407
Phone (918) 361-7366

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1265920565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 S 98TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741294407",
            "telephone_number": "918-361-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 S 98TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741294407",
            "telephone_number": "918-361-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "JAVON",
        "authorized_official_title_or_position": "CERTIFIED  SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "918-361-7366",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.