Pafford EMS of Oklahoma Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PAFFORD EMS OF OKLAHOMA INC

Practice address

817 N J M Davis Blvd
Claremore, OK 74018

Phone

(800) 451-8036

Fax

(870) 777-8479

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Larry D Clark

Title

Compliance Officer

Phone

(800) 451-8036

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1306946371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1120",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718021120",
            "telephone_number": "800-451-8036",
            "fax_number": "870-777-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 N J M DAVIS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74018",
            "telephone_number": "800-451-8036",
            "fax_number": "870-777-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAFFORD EMS OF OKLAHOMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-10-18",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "800-451-8036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20067070A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OKLAHOMA",
            "identifier": "753034633001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176986715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Savannah Owens
• Whitney Lynn Owens, PTA
• Johnna Packer, PA
• Nikki Ann Padilla
• Shala Nadine Padilla, LCSW
• David Painter
• Ashley Nicole Pallett, SLP-CFY
• Chris Palmer
• Dominick P Palmisano, CRNA
• Melinda Ruth Palmisano

• Land Ambulance in Claremore, OK
• Providers in Claremore, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.