Provider Demographics
NPI:1154548758
Name:ELITE SURGICAL FIRST ASSISTANS
Entity type:Organization
Organization Name:ELITE SURGICAL FIRST ASSISTANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:YOWAISH
Authorized Official - Suffix:
Authorized Official - Credentials:CSTCFA
Authorized Official - Phone:918-335-7918
Mailing Address - Street 1:4756 CORNELL DR
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-8513
Mailing Address - Country:US
Mailing Address - Phone:918-335-7918
Mailing Address - Fax:918-335-7962
Practice Address - Street 1:414 SE WASHINGTON BLVD
Practice Address - Street 2:#273
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2428
Practice Address - Country:US
Practice Address - Phone:918-335-7918
Practice Address - Fax:918-335-7962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK00F798282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital