Individual provider Active NPI

Charity Ann Mayhew, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1467685560
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1801 Issued in OK
Practice address
10900 Hefner Pointe Dr Ste 505
Oklahoma City, OK 73120-5006
Phone
(405) 246-0391
Fax
(405) 246-0392
NPI assigned
Aug 24, 2009
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1801 OK Primary
Medical Physician Assistant 363AM0700X 1801 OK
Surgical Physician Assistant 363AS0400X 1801 OK

Addresses

Primary practice location

10900 Hefner Pointe Dr Ste 505
Oklahoma City, OK 73120-5006

Mailing address

10900 Hefner Pointe Dr Ste 505
Oklahoma City, OK 73120-5006
Phone (405) 246-0391

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

LicenseStateTypeSpecialty
1801OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Community Clinic LLC Past Accepting new patients
Oklahoma Otolaryngology Hearing Center Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1467685560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 HEFNER POINTE DR STE 505",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205006",
            "telephone_number": "405-246-0391",
            "fax_number": "405-246-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 HEFNER POINTE DR STE 505",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205006",
            "telephone_number": "405-246-0391",
            "fax_number": "405-246-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHEW",
        "first_name": "CHARITY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1801",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1801",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "1801",
            "primary": false
        }
    ],
    "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 Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.