Active NPI
Aaron Wayne Head, PA-C
- Medical Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1316955073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 865
- Practice address
- 6500 S Macarthur Blvd
Oklahoma City, OK 73169-6918 - Phone
- (405) 954-3711
- Fax
- (405) 954-9112
- NPI assigned
- Aug 4, 2006
- Last updated
- Nov 5, 2012
- Sex
- Male
- 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 | 865 | OK | Primary |
Addresses
Primary practice location
6500 S Macarthur Blvd
Oklahoma City, OK 73169-6918
Mailing address
PO Box 190
Meeker, OK 74855-0190
Phone (405) 416-3739
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 |
|---|---|---|---|
| 865 | OK | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1316955073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "MEEKER",
"state": "OK",
"postal_code": "748550190",
"telephone_number": "405-416-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 S MACARTHUR BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731696918",
"telephone_number": "405-954-3711",
"fax_number": "405-954-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "AARON",
"middle_name": "WAYNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
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- Hcap Venture Group (Oklahoma Center for Athletes)
- Hcap Venture Group, LLC (Valir Rehabilitation Hospital)
- HD Counseling PLLC
- Jessica R Heacock-Felix
- Megan Renee Head, PHARMD.
- Healing Hands Rehab and Wellness, LLC
- Healing Minds Counseling LLC
- Health Baron LLC (Portland Chiropractic Group)
- Health Care Service Corporation, a Mutual Legal Reserve Company
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.