Active NPI
Andrea Leu-Henthorn, PA
- Physician Assistant
- Tuttle, OK
National Provider Identifier
1003147851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 979
- Practice address
- 4805 E Highway 37
Tuttle, OK 73089-8791 - Phone
- (405) 381-9979
- Fax
- (405) 689-2106
- NPI assigned
- Jan 19, 2010
- Last updated
- Feb 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 979 | OK | Primary |
Addresses
Primary practice location
4805 E Highway 37
Tuttle, OK 73089-8791
Mailing address
4805 E Highway 37
Tuttle, OK 73089-8791
Phone (405) 381-9979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Local Med LLC | Current | Accepting new patients | |
| Deaconess Physician Services LLC | Past | Accepting new patients |
Locations
4805 E Highway 37
Tuttle, OK 73089
Phone (405) 381-9979
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Walters, OK
- NPI 1962991919
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1427017862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1003147851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 E HIGHWAY 37",
"city": "TUTTLE",
"state": "OK",
"postal_code": "730898791",
"telephone_number": "405-381-9979",
"fax_number": "405-689-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 E HIGHWAY 37",
"city": "TUTTLE",
"state": "OK",
"postal_code": "730898791",
"telephone_number": "405-381-9979",
"fax_number": "405-689-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEU-HENTHORN",
"first_name": "ANDREA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-19",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuttle, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.