Individual provider Active NPI

Lynn Arthur Leverton, D PH

  • Clinical Pharmacology Physician
  • Vinita, OK
National Provider Identifier
1134631013
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pharmacology PhysicianTaxonomy code 208U00000X
License
14169 Issued in OK
Practice address
27371 S 4410 Rd
Vinita, OK 74301-7953
Phone
(918) 256-4800
NPI assigned
Oct 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pharmacology Physician 208U00000X 14169 OK Primary
Clinical Pharmacology Physician 208U00000X 18561 TX

Addresses

Primary practice location

27371 S 4410 Rd
Vinita, OK 74301-7953

Mailing address

2875 Woodhollow Dr
Highland Village, TX 75077-8694
Phone (469) 951-7299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14169OKMDClinical Pharmacology Physician
18561TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1134631013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 WOODHOLLOW DR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750778694",
            "telephone_number": "469-951-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27371 S 4410 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743017953",
            "telephone_number": "918-256-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERTON",
        "first_name": "LYNN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-31",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "OK",
            "license": "14169",
            "primary": true
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "TX",
            "license": "18561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.