Amy E. Hefley

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

89577 Issued in OK

Practice address

1300 W Elmira PL
Broken Arrow, OK 74012-0889

Phone

(918) 249-0004

Fax

(918) 249-0004

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Amy E. Ritenour Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cutting Edge Surgical Assistants LLC

  • Surgical Physician Assistant
  • Broken Arrow, OK
  • NPI 1407274160
  NPD (past) Authorized official
• Cutting Edge Surgical Assists

  • Surgical Assistant
  • Tulsa, OK
  • NPI 1265926539
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408147200000",
    "number": "1508909854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W ELMIRA PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120889",
            "telephone_number": "918-249-0004",
            "fax_number": "918-249-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W ELMIRA PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120889",
            "telephone_number": "918-249-0004",
            "fax_number": "918-249-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFLEY",
        "first_name": "AMY",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "89577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RITENOUR",
            "middle_name": "E.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healthy Mindset Therapy
• Healthy Spine and Body, PLLC
• Justin John Heaps
• Hearing Healthcare Associates
• Heartland Dental Care of Oklahoma, PC
• Danielle Hegdale, BA, MS
• Nathaniel Gray Heinsohn, D.D.S.
• Jessica Heiser, PHARMD
• Monica Lee Heisler, RN, BSN, MSN, FNP-BC
• Amanda Helm, PA

• Surgical Physician Assistant in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Surgical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.