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NPISignal

Individual Healthcare Provider

Jesse Gulish, OPA

NPI Record: ActiveSpecialist/Technologist, Other — Surgical Assistant
NPI1225452550
Mc Kenzie, Tennessee

Provider's NPPES record last updated: March 29, 2018

Overview

Entity Type
Individual Healthcare Provider
NPI
1225452550
Primary Specialty
Specialist/Technologist, Other — Surgical Assistant
Practice Location
Mc Kenzie, Tennessee
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 1:00 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Specialist/Technologist, Other

    Surgical Assistant

    Technologists, Technicians & Other Technical Service Providers

    Primary

    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.

    Taxonomy code 246ZC0007X
  • Specialist/Technologist, Other

    Orthopedic Assistant

    Technologists, Technicians & Other Technical Service Providers

    An Orthopaedic Assistant is a person who has been trained to work as a physician extender in both clinical and surgical environments. An Orthopaedic Assistant assists with aspects of patient care as determined by the supervising surgeon including, but not limited to, obtaining patient history, assisting with examinations, injections, recording of office notes, and application/adjustment/removal of splints, casts, and other immobilization devices. Acting as a surgical first assistant for orthopaedic surgery cases includes providing aid in exposure, hemostasis, positioning of the patient, suturing and closure of body planes and skin, application of wound dressings or immobilization devices, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. An Orthopaedic Assistant may be licensed, registered, or certified depending on the state in which the individual practices.

    Taxonomy code 246ZX2200X
  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X

Provider-Reported License Information

Specialist/Technologist, Other (Tennessee)
820
Specialist/Technologist, Other (Tennessee)
820
Physician Assistant (Tennessee)
820
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

205 Hospital Dr Ste A

Mc Kenzie, Tennessee 38201-1649

Phone: (731) 352-7907

Additional Practice Location

1015 Kelley Dr

Paris, Tennessee 38242-5819

Phone: (731) 644-2271

Record Information

Enumeration Date
February 6, 2014
Provider's NPPES Record Last Updated
March 29, 2018
NPISignal NPPES Dataset
August 2026

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