Active NPI
Cie Chloee Pshigoda, CSFA
- Surgical Physician Assistant
- Skiatook, OK
National Provider Identifier
1386972131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 8409 Summit Ave
Skiatook, OK 74070 - Phone
- (918) 808-0583
- NPI assigned
- Dec 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary | ||
| Surgical Assistant | 246ZC0007X | 117717 | OK |
Addresses
Primary practice location
8409 Summit Ave
Skiatook, OK 74070
Mailing address
8409 Summit Ave
Skiatook, OK 74070-5540
Phone (918) 808-0583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117717 | OK | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1386972131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8409 SUMMIT AVE",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "740705540",
"telephone_number": "918-808-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8409 SUMMIT AVE",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "74070",
"telephone_number": "918-808-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PSHIGODA",
"first_name": "CIE",
"middle_name": "CHLOEE",
"name_prefix": "Mrs.",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-04",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "OK",
"license": "117717",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skiatook, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.