Active NPI
John Robert Anglin, PA-C
- Physician Assistant
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2122
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2122 | OK | MD | Clinical Social Worker |
| R0087009 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Resource Management, LLC | Current | Accepting new patients | |
| Warren Clinic Inc | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Family Medicine Physician
- Edmond, OK
- NPI 1629392204
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.