Provider Demographics
NPI:1568984425
Name:PARAMOUNT SURGICAL ASSISTING
Entity Type:Organization
Organization Name:PARAMOUNT SURGICAL ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PAINTER
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:918-294-3364
Mailing Address - Street 1:9915 E 82ND PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4557
Mailing Address - Country:US
Mailing Address - Phone:918-294-3364
Mailing Address - Fax:918-294-3364
Practice Address - Street 1:9915 E 82ND PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4557
Practice Address - Country:US
Practice Address - Phone:918-294-3364
Practice Address - Fax:918-294-3364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty