Individual provider Active NPI

Ashley Wessler Pojezny, DO

  • Family Medicine Physician
  • Broken Arrow, OK
National Provider Identifier
1174966048
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5613 Issued in OK
Practice address
2050 W Kenosha St
Broken Arrow, OK 74012-8946
Phone
(918) 882-0440
Fax
(918) 882-0441
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5613 OK Primary

Addresses

Primary practice location

2050 W Kenosha St
Broken Arrow, OK 74012-8946

Mailing address

2050 W Kenosha St
Broken Arrow, OK 74012-8946
Phone (918) 882-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 6, 2024 through Apr 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5613OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
PHP Ok PC Family Medicine CurrentSince Jul 7, 2024 Accepting new patients

Locations

2050 W Kenosha St
Broken Arrow, OK 74012
Phone (918) 882-0440

Interoperability endpoints

  • Direct secure messaging: ashley.pojezny@direct.stjohnhealthsystem.com

Organizations & group practices 1

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1174966048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128946",
            "telephone_number": "918-882-0440",
            "fax_number": "918-882-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128946",
            "telephone_number": "918-882-0440",
            "fax_number": "918-882-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POJEZNY",
        "first_name": "ASHLEY",
        "middle_name": "WESSLER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.