Individual provider Active NPI

Tiffany Sinko, PA-C

  • Physician Assistant
  • Yukon, OK
National Provider Identifier
1093250599
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2720 Issued in OK
Practice address
1616 S Mustang Rd
Yukon, OK 73099-0304
Phone
(405) 256-0501
Fax
(405) 265-1611
NPI assigned
Dec 20, 2016
Last updated
Aug 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2720 OK Primary

Addresses

Primary practice location

1616 S Mustang Rd
Yukon, OK 73099-0304

Mailing address

1616 S Mustang Rd
Yukon, OK 73099-0304
Phone (405) 256-0501

Other practice location 1

12000 Charleston Way
Yukon, OK 73099-9587
Phone (405) 883-1119

Other practice location 2

2804 SW 134th St
Oklahoma City, OK 73170-5474
Phone (405) 676-8608

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
I20181029001903 OK Practitioner - Physician Assistant 1355694936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medok Mustang, LLCGroup PAC ID 7810288032, 11 clinicians

Practice addresses (Care Compare)

12000 Charleston Way
Yukon, OK 73099-9587
Phone (405) 883-1119

1616 S Mustang Rd
Yukon, OK 73099-0304
Phone (405) 256-0501

2804 SW 134TH St
Oklahoma City, OK 73170-5474
Phone (405) 676-8608

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medok South May LLC PastSince Oct 12, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1093250599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990304",
            "telephone_number": "405-256-0501",
            "fax_number": "405-265-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990304",
            "telephone_number": "405-256-0501",
            "fax_number": "405-265-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 Charleston Way",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730999587",
            "country_code": "US",
            "telephone_number": "405-883-1119",
            "fax_number": "405-883-1135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2804 SW 134th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731705474",
            "country_code": "US",
            "telephone_number": "405-676-8608",
            "fax_number": "405-676-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINKO",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.