Individual provider Active NPI

Roger Alan Nevling, PAC

  • Physician Assistant
  • Muskogee, OK
National Provider Identifier
1225015027
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2405 Issued in OK
Practice address
350 S 40TH St
Muskogee, OK 74401-4915
Phone
(918) 683-0753
Fax
(866) 397-7556
NPI assigned
Dec 22, 2005
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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 2405 OK Primary

Addresses

Primary practice location

350 S 40TH St
Muskogee, OK 74401-4915

Mailing address

350 S 40TH St
Muskogee, OK 74401-4915
Phone (918) 683-0753

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Hill Radiology Services LLC PastSince Jun 2, 2003 Accepting new patients
Cardiology Clinic of Muskogee, Inc. Past Accepting new patients
North Hill Laboratory Services LLC PastSince May 30, 2003 Accepting new patients
McAlester Care Associates PastSince Nov 1, 2008 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1225015027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S 40TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014915",
            "telephone_number": "918-683-0753",
            "fax_number": "866-397-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 40TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014915",
            "telephone_number": "918-683-0753",
            "fax_number": "866-397-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVLING",
        "first_name": "ROGER",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.