Individual provider Active NPI

Timara Leigh Stelling, P.A.

  • Physician Assistant
  • Purcell, OK
National Provider Identifier
1235595240
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2573 Issued in OK
Practice address
1401 N 4TH Ave Ste 107
Purcell, OK 73080-1806
Phone
(405) 527-5400
Fax
(405) 527-7332
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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 2573 OK Primary

Addresses

Primary practice location

1401 N 4TH Ave Ste 107
Purcell, OK 73080-1806

Mailing address

Dept 96-0341
Oklahoma City, OK 73196-0341
Phone (405) 527-5400

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
I20160128000988 OK Practitioner - Physician Assistant 3476856238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Oklahoma City, OK 73102-1049

6201 N Santa Fe
Suite 2010
Oklahoma City, OK 73118-7538
Phone (405) 272-5555

999 Hospital Dr
Purcell, OK 73080-1742
Phone (405) 803-5010

Hospital & facility affiliations

  • Traditions Health of Purcell Home health agency, Purcell, OK, CCN 377520
  • Loving Care in-Home Health Services, L.L.C. Home health agency, Noble, OK, CCN 377604
  • Purcell Municipal Hospital Hospital, Purcell, OK, CCN 370158
  • Norman Regional Hospital, Norman, OK, CCN 370008
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2573OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Feb 1, 2020 Accepting new patients
Saints Medical Group, LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

999 Hospital Dr
Purcell, OK 73080
Phone (405) 803-5010

1401 N 4th Ave
Ste 201
Purcell, OK 73080
Phone (405) 527-2220

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

1401 N 4th Ave
Ste 107
Purcell, OK 73080
Phone (405) 527-5400

1401 N 4th Ave
Purcell, OK 73080
Phone (405) 527-2144

Organizations & group practices 2

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 7

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1235595240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 96-0341",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960341",
            "telephone_number": "405-527-5400",
            "fax_number": "405-527-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 4TH AVE STE 107",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730801806",
            "telephone_number": "405-527-5400",
            "fax_number": "405-527-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLING",
        "first_name": "TIMARA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

Verify at the official NPI Registry.