Organization Active NPI

Kle Surgical Assisting, LLC

  • Surgical Physician Assistant
  • Broken Arrow, OK
National Provider Identifier
1861911083
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
KLE SURGICAL ASSISTING, LLC
Practice address
7301 E Nashville St
Broken Arrow, OK 74014-2980
Phone
(918) 595-2331
Fax
(918) 893-1592
NPI assigned
Sep 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Authorized official

Name
Mrs. Katie Leigh ElliottNPI 1619265212
Title
Csfa
Phone
(918) 595-2331

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

7301 E Nashville St
Broken Arrow, OK 74014-2980

Mailing address

7301 E Nashville St
Broken Arrow, OK 74014-2980
Phone (918) 595-2331

Other practice location 1

7301 E Nashville St
Broken Arrow, OK 74014-2980
Phone (918) 595-2331

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": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549065600000",
    "number": "1861911083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E NASHVILLE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142980",
            "telephone_number": "918-595-2331",
            "fax_number": "918-893-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E NASHVILLE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142980",
            "telephone_number": "918-595-2331",
            "fax_number": "918-893-1592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 E Nashville St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740142980",
            "country_code": "US",
            "telephone_number": "918-595-2331",
            "fax_number": "918-893-1592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KLE SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2019-02-02",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CSFA",
        "authorized_official_telephone_number": "918-595-2331",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; 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.