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MR. PAUL DANIEL PTAK SA-C, RSA
NPI 1730500760
Specialist/Technologist, Other - Surgical Assistant in Cookeville, TN

Active since December 17, 2013
5300 CHERRY CREEK RD, COOKEVILLE, TN 38506(847) 494-1940 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2021, Dec 11, 2015 (2 updates tracked since 2015).

About Mr. Paul Daniel Ptak Sa-c, Rsa NPPES

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

MR. PAUL DANIEL PTAK SA-C, RSA (NPI 1730500760) is an individual surgical assistant in Cookeville, Tennessee and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1730500760
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMR. PAUL DANIEL PTAKCredential: SA-C, RSA
Location Address5300 CHERRY CREEK RDCookeville, TN 38506-7007
Mailing Address5300 Cherry Creek RdCookeville, TN 38506-7007 · (847) 494-1940
Phone(847) 494-1940
Sole ProprietorYes
Enumeration DateDecember 17, 2013
Last NPPES UpdateOctober 22, 20212 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
✔ NPI 1730500760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
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.
5300 CHERRY CREEK RD, Cookeville, TN 38506
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Other Providers at the Same Location NPPES

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

TRISTAR SURGICAL SERVICES, LLC
Specialist/Technologist, Other (Surgical Assistant)
5300 CHERRY CREEK RD
COOKEVILLE, TN 38506
Putnam County (847) 494-1940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Ptak's NPI number?

The NPI number for Paul Ptak is 1730500760. It was assigned to this individual provider in the NPPES registry on December 17, 2013.

Where is Paul Ptak located?

Paul Ptak practices at 5300 Cherry Creek Rd, Cookeville, TN 38506. The listed phone number is (847) 494-1940.

What is Paul Ptak's specialty?

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

When was this NPI record last updated?

The NPPES record for Paul Ptak was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.