Active NPI
Mary Annette Dunagan, PA-C
- Medical Physician Assistant
- McAlester, OK
National Provider Identifier
1285777383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA536
- Practice address
- 100 S Main St
#B
McAlester, OK 74501-5369 - Phone
- (918) 423-3700
- Fax
- (918) 423-3712
- NPI assigned
- Feb 15, 2007
- Last updated
- Apr 4, 2011
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA536 | OK | Primary |
Addresses
Primary practice location
100 S Main St
#B
McAlester, OK 74501-5369
Mailing address
100 S Main St
#B
McAlester, OK 74501-5369
Phone (918) 423-3700
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 |
|---|---|---|---|
| 536 | OK | MD | Addiction (Substance Use Disorder) Counselor |
| PA536 | OK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba River Valley Musculoskeletal Center
- Orthopaedic Surgery Physician
- Fort Smith, AR
- NPI 1619937745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1285777383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MAIN ST",
"address_2": "#B",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745015369",
"telephone_number": "918-423-3700",
"fax_number": "918-423-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S MAIN ST",
"address_2": "#B",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745015369",
"telephone_number": "918-423-3700",
"fax_number": "918-423-3712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAGAN",
"first_name": "MARY",
"middle_name": "ANNETTE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "PA536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.