Individual provider Active NPI

Alison Suezan Barton, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1093375271
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3033 Issued in OK
Practice address
13401 N Western Ave Ste 210
Oklahoma City, OK 73114-1410
Phone
(405) 272-4953
Fax
(405) 272-4956
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 3033 OK Primary

Addresses

Primary practice location

13401 N Western Ave Ste 210
Oklahoma City, OK 73114-1410

Mailing address

13401 N Western Ave Ste 210
Oklahoma City, OK 73114-1410
Phone (405) 272-4953

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
I20191002000285 OK Practitioner - Physician Assistant 6507196797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sja Medical PLLCGroup PAC ID 4082081757, 3 clinicians

Practice addresses (Care Compare)

13601 W Memorial Park Dr
Suite 300
Oklahoma City, OK 73120-8375
Phone (572) 746-6746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3033OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abarton166203@direct.integrisok.com
  • Direct secure messaging: abarton334296@direct-ehr-ssmhc.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1093375271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE STE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141410",
            "telephone_number": "405-272-4953",
            "fax_number": "405-272-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE STE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141410",
            "telephone_number": "405-272-4953",
            "fax_number": "405-272-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "ALISON",
        "middle_name": "SUEZAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.