Basic Information
| Provider Information | |||||||||
| NPI: | 1023239720 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUINNIP | ||||||||
| FirstName: | PAULA | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1008 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | SIKESTON | ||||||||
| State: | MO | ||||||||
| PostalCode: | 638015044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5734727423 | ||||||||
| FaxNumber: | 5734727475 | ||||||||
| Practice Location | |||||||||
| Address1: | 4 E CLARK BASS BLVD | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | MCALESTER | ||||||||
| State: | OK | ||||||||
| PostalCode: | 745014269 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9184216079 | ||||||||
| FaxNumber: | 9084216077 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2007 | ||||||||
| LastUpdateDate: | 12/19/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/19/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | 2016030313 | MO | Y | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 30170 | OK | N | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208600000X | 30170 | OK | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0129X | 12473 | MT | N | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | 208G00000X | 036114698 | IL | N | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
No ID Information.