Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Paul Daniel Ptak, SA-C, RSA

Individual provider Surgical Assistant · NPI 1730500760

Mr. Paul Daniel Ptak, SA-C, RSA is a Surgical Assistant in Cookeville, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

5300 Cherry Creek Rd
Cookeville, TN 38506-7007
Phone: (847) 494-1940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1730500760
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C , RSA
Sole proprietorYes
NPI enumeratedDecember 17, 2013
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021

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