Central PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1037 Issued in OK

Legal business name

CENTRAL PA

Practice address

10701 Pond Meadow Dr
Oklahoma City, OK 73151-9149

Phone

(405) 771-4151

Fax

(405) 771-4151

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Greg W Dinwiddie, PHYSICIAN ASSISTANT

Title

President

Phone

(405) 771-4151

Specialties & licenses 1

Addresses

Tax ID family

Central PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central PA, LLC

  • Surgical Physician Assistant
  • Oklahoma City, OK
  • NPI 1710289483
  NPD tax ID

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1104131721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 POND MEADOW DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731519149",
            "telephone_number": "405-771-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 POND MEADOW DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731519149",
            "telephone_number": "405-771-4151",
            "fax_number": "405-771-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "DINWIDDIE",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-771-4151",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Oklahoma Durable Medical Supply LLC
• Central Oklahoma Eye Associates, P.C.
• Central Oklahoma Hematology-Oncology Group PLLC
• Central Oklahoma Radiation Oncology PC
• Central Oklahoma United Methodist Retirement Facility Inc
• Central PA, LLC
• Central Pulmonary Rehab, LLC
• Centre for Therapy & Wellness Inc
• Samantha Cepeda
• Travis Darnell Cephus

• Surgical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Surgical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.