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SPECTRA MEDICAL HOME MHT LLC NPI 1700201498


NPI Information

NPI: 1700201498
Provider Name: SPECTRA MEDICAL HOME MHT LLC
Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
12500 NE 36TH ST
CHOCTAW, OK
ZIP 73020
Phone: (855) 860-2109
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SPECTRA MEDICAL HOME MHT LLC is a physician assistant in Choctaw, OK. The provider is 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. SPECTRA MEDICAL HOME MHT LLC NPI is 1700201498. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12500 NE 36TH ST
CHOCTAW, OK
ZIP 73020-111
Phone: (855) 860-2109

The provider's authorized official is Elmer Gari Owens .
The authorized official title is Owner and has the following contact phone number (855) 860-2109.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 3/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA619OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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