Unknown Individual – Physician Assistant, NPI 1568453405
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1201, East Jackson Street, Hugo, Choctaw County, Oklahoma, 74743, United States
HUGO, OK 747434229
Phone: (580) 326-6423
Fax: (580) 317-9233
Mailing address matches the actual address.
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 74743)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OK | 83036 | Hemoglobin A1C level | 47 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| - | OK | |
| Nurse Practitioner | OK |
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