Active NPI
Stephanie Arlene Whatley, P.A.
- Medical Physician Assistant
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1136
- Practice address
- 2821 N Van Buren St Ste B
Enid, OK 73703-1729 - Phone
- (580) 213-9794
- Fax
- (580) 213-9795
- NPI assigned
- Apr 6, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1136 | OK | Primary |
Addresses
Primary practice location
2821 N Van Buren St Ste B
Enid, OK 73703-1729
Mailing address
5300 N Independence Ave
Oklahoma City, OK 73112-5556
Phone (580) 213-9794
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01318927 | Other | OK | RR MEDICARE |
| 200004000A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 W Garriott Rd
Integris Urgent Care Plus
Enid, OK 73703-5526
Phone (580) 977-1904
3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icare Center LLC | Current | Accepting new patients | |
| Panhandle Womens Center P L L C | Past | Accepting new patients |
Locations
102 Starlite Dr
Ste 3
Kingfisher, OK 73750
Phone (572) 200-8805
2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028
Interoperability endpoints
- swhatley9248@direct.integrisok.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Urgent Care Clinic/Center
- Harrah, OK
- NPI 1881190833
-
- Specialist
- Guymon, OK
- NPI 1336172857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1003878612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "580-213-9794",
"fax_number": "580-213-9795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 N VAN BUREN ST STE B",
"city": "ENID",
"state": "OK",
"postal_code": "737031729",
"telephone_number": "580-213-9794",
"fax_number": "580-213-9795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHATLEY",
"first_name": "STEPHANIE",
"middle_name": "ARLENE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "1136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01318927",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200004000A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.