Individual provider Active NPI

Mika Strong, PA-C

  • Medical Physician Assistant
  • Ada, OK
National Provider Identifier
1053479436
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1261 Issued in OK
Practice address
905 Colony Dr
Ada, OK 74820-2329
Phone
(580) 436-5111
Fax
(580) 436-1159
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1261 OK Primary

Addresses

Primary practice location

905 Colony Dr
Ada, OK 74820-2329

Mailing address

527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 925-3286

Other identifiers 1

IdentifierTypeStateIssuer
200008160AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000054 OK Practitioner - Physician Assistant 7911957634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 Arlington St
Suite B
Ada, OK 74820-4067
Phone 5809253286227

301 N Monte Vista St
Ada, OK 74820-4607
Phone (580) 436-5111

304 N Monte Vista St
Ada, OK 74820-7484
Phone (580) 436-5111

527 W 3Rd St
Konawa, OK 74849-1415
Phone 5809253286227

807 N Monte Vista St
Ada, OK 74820-7711
Phone (580) 332-8855

905 Colony Dr
Ada, OK 74820-2329
Phone (580) 436-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1261OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oklahoma Family Medical Center Inc CurrentSince Jan 13, 2014 Accepting new patients
Mercy Hospital Ada, Inc Past Accepting new patients
Tricity Family Physicians, PC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413

1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700

905 Colony Dr
#A
Ada, OK 74820

905 Colony Dr
Ada, OK 74820
Phone (580) 434-5111

527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBIBD/Endpoint/AIBIBD

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1053479436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "580-925-3286",
            "fax_number": "580-925-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 COLONY DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202329",
            "telephone_number": "580-436-5111",
            "fax_number": "580-436-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONG",
        "first_name": "MIKA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200008160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.