JESSE GULISH OPA - NPI 1225452550 - Specialist/Technologist, Other in Mc Kenzie, TN

Q: What is Jesse Gulish's NPI number?

The NPI number for Jesse Gulish is 1225452550. It was assigned to this individual provider in the NPPES registry on February 6, 2014.

Q: What is Jesse Gulish's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Gulish was last updated on March 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jesse Gulish Opa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE GULISH OPA (NPI 1225452550) is an individual surgical assistant in Mc Kenzie, Tennessee, licensed in Tennessee (820) and active in the NPI registry since February 2014. He maintains a secondary practice location in Paris.

NPPES Registry Identity

NPI1225452550

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameJESSE GULISHCredential: OPA

Location Address205 HOSPITAL DR STE AMc Kenzie, TN 38201-1649

Mailing Address205 Hospital Dr Ste AMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (731) 352-4429

Phone(731) 352-7907

Fax(731) 352-4459

Sole ProprietorNo

Enumeration DateFebruary 6, 2014

Last NPPES UpdateMarch 29, 20183 updates tracked since enumeration

✔ NPI 1225452550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in TN · 820

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

Also ListedSpecialist/Technologist, Other · Orthopedic AssistantTaxonomy 246ZX2200X · License 820 (TN)

Also ListedPhysician AssistantTaxonomy 363A00000X · License 820 (TN)

205 HOSPITAL DR STE A, Mc Kenzie, TN 38201

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Secondary Practice Location 1

Location 11015 Kelley DrParis, TN 38242-5819 · Phone (731) 644-2271

Other Identifiers 1

Medicaid3380640TN

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERTHA IZAURA ROBLES PA-C

Physician Assistant