Active NPI
Paul Walter Crowl, PA
- Medical Physician Assistant
- Anadarko, OK
National Provider Identifier
1104867514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1006
- Practice address
- 1002 E Central Blvd
Anadarko, OK 73005-4405 - Phone
- (405) 247-2551
- Fax
- (405) 247-8258
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1006 | OK | Primary |
Addresses
Primary practice location
1002 E Central Blvd
Anadarko, OK 73005-4405
Mailing address
1002 E Central Blvd
Anadarko, OK 73005-4405
Phone (405) 247-2551
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1006 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Wellness Anadarko Inc | Current | Accepting new patients | |
| Rural Wellness Fairfax Inc | Current | Accepting new patients | |
| Carter Professional Care, Corp | Past | Accepting new patients |
Locations
1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551
40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827
Dept 960617
Oklahoma City, OK 73196
2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571
Interoperability endpoints
- paulcrowl@rwhanadarko.medalliesdirect.net
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.
-
- Medical Specialty Clinic/Center
- Anadarko, OK
- NPI 1538825120
-
- Critical Access Hospital
- Fairfax, OK
- NPI 1295362564
-
- Critical Access Hospital
- Anadarko, OK
- NPI 1023774601
-
- Family Medicine Physician
- Edmond, OK
- NPI 1932299286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1104867514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 E CENTRAL BLVD",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730054405",
"telephone_number": "405-247-2551",
"fax_number": "405-247-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 E CENTRAL BLVD",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730054405",
"telephone_number": "405-247-2551",
"fax_number": "405-247-8258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWL",
"first_name": "PAUL",
"middle_name": "WALTER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "1006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anadarko, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.