Active NPI
Neneth Oakley Phung, PA-C
- Physician Assistant
- Moore, OK
National Provider Identifier
1265597553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1418
- Practice address
- 2733 South I-35 Service Road
Moore, OK 73160 - Phone
- (405) 814-7845
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1418 | OK | Primary |
Addresses
Primary practice location
2733 South I-35 Service Road
Moore, OK 73160
Mailing address
5713 SE 87TH St
Oklahoma City, OK 73135-6076
Phone (405) 869-7235
Other names 1
- Miss Neneth Oakley
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1418 | OK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traditions Hospice of Tulsa, LLC | Past | Accepting new patients | |
| Jeri Ellis MD MPH PC | Past | Accepting new patients | |
| Quick Clinic LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1043361934
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1356412225
-
- Community Based Hospice Care Agency
- Tulsa, OK
- NPI 1255877718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265597553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5713 SE 87TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731356076",
"telephone_number": "405-869-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2733 SOUTH I-35 SERVICE ROAD",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "405-814-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUNG",
"first_name": "NENETH",
"middle_name": "OAKLEY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NENETH",
"last_name": "OAKLEY",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.