Active NPI
Michael J Pflughoft, PA
- Physician Assistant
- Norman, OK
National Provider Identifier
1023080223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1200
- Practice address
- 3400 W Tecumseh Rd
Ste 101
Norman, OK 73072-1810 - Phone
- (405) 360-6764
- Fax
- (405) 360-6769
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- 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 | 1200 | OK | Primary |
Addresses
Primary practice location
3400 W Tecumseh Rd
Ste 101
Norman, OK 73072-1810
Mailing address
3400 W Tecumseh Rd
Ste 101
Norman, OK 73072-1810
Phone (405) 360-6764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100846090A | Medicaid | OK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1200 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Regional Providers Primary Care | Past | Accepting new patients | |
| Oakwood Springs, LLC | Past | Accepting new patients | |
| Eagle Community Clinic LLC | Past | Accepting new patients | |
| Surgical Specialists of Oklahoma PLLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Edmond, OK
- NPI 1063790202
-
- Family Medicine Physician
- Norman, OK
- NPI 1548398274
-
- Psychiatric Hospital
- Oklahoma City, OK
- NPI 1770932410
-
- Surgery Physician
- Midwest City, OK
- NPI 1871542639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1023080223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W TECUMSEH RD",
"address_2": "STE 101",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721810",
"telephone_number": "405-360-6764",
"fax_number": "405-360-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W TECUMSEH RD",
"address_2": "STE 101",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721810",
"telephone_number": "405-360-6764",
"fax_number": "405-360-6769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFLUGHOFT",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100846090A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.