Active NPI
Deborah Cummings Doray, PA
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1477666451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA703
- Practice address
- 4913 W Reno Ave
Oklahoma City, OK 73127-6339 - Phone
- (405) 948-4900
- Fax
- (405) 948-4919
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA703 | OK | Primary |
Addresses
Primary practice location
4913 W Reno Ave
Oklahoma City, OK 73127-6339
Mailing address
1424 Wilburn Dr
Oklahoma City, OK 73127-3254
Phone (405) 787-1341
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1600703 | Medicaid | OK | |
| PA703 | Other | OK | LICENSE NUMBER |
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 |
|---|---|---|---|
| PA703 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1477666451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 WILBURN DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731273254",
"telephone_number": "405-787-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4913 W RENO AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731276339",
"telephone_number": "405-948-4900",
"fax_number": "405-948-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAY",
"first_name": "DEBORAH",
"middle_name": "CUMMINGS",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "PA703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1600703",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PA703",
"state": "OK"
}
],
"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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.