Provider Demographics
NPI:1023239720
Name:GUINNIP, PAULA M (MD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:M
Last Name:GUINNIP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74465-0415
Mailing Address - Country:US
Mailing Address - Phone:918-485-0068
Mailing Address - Fax:918-485-0069
Practice Address - Street 1:205 HARRIS CIR STE 202
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-8849
Practice Address - Country:US
Practice Address - Phone:918-485-0068
Practice Address - Fax:918-485-0069
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK30170208600000X, 208G00000X
MO2016030313208G00000X
MT124732086S0129X
IL036114698208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H29391Medicare UPIN