Healthcare Provider Details

I. General information

NPI: 1023239720
Provider Name (Legal Business Name): PAULA M GUINNIP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 HARRIS CIR STE 202
TAHLEQUAH OK
74464-8849
US

IV. Provider business mailing address

PO BOX 415
TAHLEQUAH OK
74465-0415
US

V. Phone/Fax

Practice location:
  • Phone: 918-485-0068
  • Fax: 918-485-0069
Mailing address:
  • Phone: 918-485-0068
  • Fax: 918-485-0069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number30170
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number2016030313
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number30170
License Number StateOK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: