Individual provider Active NPI

Garrett Christopher Wardlow, PA-C

  • Physician Assistant
  • Norman, OK
National Provider Identifier
1104428838
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4432 Issued in OK
Practice address
3400 W Tecumseh Rd Ste 101
Norman, OK 73072-1810
Phone
(405) 360-3764
Fax
(405) 360-6769
NPI assigned
Nov 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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 4432 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) 360-3764

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
I20201202000090 OK Practitioner - Physician Assistant 0749691426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho CentralGroup PAC ID 9830526615, 33 clinicians

Practice addresses (Care Compare)

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

3400 E Tecumseh Rd
Norman, OK 73072-1810

9600 Broadway Ext
McBride Orthopedic Hospital
Oklahoma City, OK 73114-7408
Phone (405) 486-2100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Central Physician Assistant CurrentSince Nov 9, 2020 Accepting new patients
McBride Clinic Orthopedic Hospital, LLC Physician Assistant CurrentSince Jan 17, 2026 Accepting new patients
McBride Clinic Orthopedic Hospital, LLC Past Accepting new patients
Ortho Central Past Accepting new patients

Locations

400 N Bryant Ave
Edmond, OK 73034
Phone (405) 230-9200

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3700 36th Ave NW
Norman, OK 73072
Phone (405) 230-9600

3400 W Tecumseh Rd
Ste 101
Norman, OK 73072
Phone (405) 515-0649

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

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.

Hospital & facility affiliations 2

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1104428838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-360-3764",
            "fax_number": "405-360-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-360-3764",
            "fax_number": "405-360-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLOW",
        "first_name": "GARRETT",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.