Individual provider Active NPI

John Robert Anglin, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1447430160
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2122 Issued in OK
Practice address
820 NW 13TH St
Oklahoma City, OK 73106-6898
Phone
(405) 943-0303
Fax
(405) 272-0515
NPI assigned
Nov 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0087009 OK
Physician Assistant 363A00000X 2122 OK Primary

Addresses

Primary practice location

820 NW 13TH St
Oklahoma City, OK 73106-6898

Mailing address

820 NW 13TH St
Oklahoma City, OK 73106-6898
Phone (405) 943-0303

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
I20130724000574 OK Practitioner - Physician Assistant 9830330448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians

Practice addresses (Care Compare)

1000 NW 32ND St
Newcastle, OK 73065-6334
Phone (405) 387-9325

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208

16205 N Pennsylvania Ave
Edmond, OK 73013-7325
Phone (405) 705-5700

2109 S Santa Fe Ave
Moore, OK 73160-2807
Phone (405) 213-0256

301 S Mustang Rd
Yukon, OK 73099-6704
Phone (405) 324-1911

3428 NW Cache Rd
Lawton, OK 73505-3846
Phone (580) 595-7207

3617 NW Expressway
Oklahoma City, OK 73112-4405
Phone (405) 835-2771

46 E 15TH St
Edmond, OK 73013-4301
Phone (405) 844-5210

5300 SE 29TH St
Oklahoma City, OK 73115-4702
Phone (405) 835-2770

9917 SE 15TH St
Midwest City, OK 73130-5504
Phone (405) 622-2070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2122OKMDClinical Social Worker
R0087009OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resource Management, LLC CurrentSince Dec 1, 2025 Accepting new patients
Warren Clinic Inc CurrentSince Oct 25, 2025 Accepting new patients
Mercy Access LLC Past Accepting new patients

Locations

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.anglin@direct.meditouchehr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1447430160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 NW 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066898",
            "telephone_number": "405-943-0303",
            "fax_number": "405-272-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NW 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066898",
            "telephone_number": "405-943-0303",
            "fax_number": "405-272-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0087009",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.