Unknown Individual – Physician Assistant, NPI 1114999182
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
East 81st Street, Oak Tree Village, Tulsa, Tulsa County, Oklahoma, 74012, United States
TULSA, OK 741374265
Phone: (918) 494-9341
Fax: (918) 494-9355
Type: Mailing
301, South Yale Avenue, White City, Tulsa, Tulsa County, Oklahoma, 74112, United States
TULSA, OK 74136
Phone: (918) 494-9300
Fax: (918) 494-9355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74137)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OK | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Addiction Medicine, Internal Medicine | OK | |
| N E U R O S U R G E R Y | TX | |
| Physician Assistant | TX | |
| Internal Medicine, Psychiatry | OK | |
| N E U R O S U R G E R Y | FL | |
| N E U R O S U R G E R Y | OK |
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