Victoria Archer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4988 Issued in OK

Practice address

2410 N Commerce St
Ardmore, OK 73401-1356

Phone

(580) 226-0812

Fax

(580) 226-0820

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

No

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.

• Michael G. McCauley M.D. Inc.

  • Dermatology Physician
  • Ardmore, OK
  • NPI 1295753986

  OK

  Medicare reassignment Care Compare group

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael G. McCauley M.D. Inc. 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: tori@skinclinic.emadirect.md

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2023.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1548047525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011356",
            "telephone_number": "580-226-0812",
            "fax_number": "580-226-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011356",
            "telephone_number": "580-226-0812",
            "fax_number": "580-226-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1606B W Jones Ave",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "OK",
            "postal_code": "735331732",
            "country_code": "US",
            "telephone_number": "580-255-7546",
            "fax_number": "580-255-7549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Radio Rd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747012982",
            "country_code": "US",
            "telephone_number": "580-931-9977",
            "fax_number": "800-288-5266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 N Monte Vista St",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748204609",
            "country_code": "US",
            "telephone_number": "580-436-2156",
            "fax_number": "800-288-5266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna C Burson, Inc
• Mercy Dominic Antony
• McKenna Aragon
• Arbuckle Life Solutions, Inc.
• Dale Archer, PAC
• Ardg PLLC
• Ardmore Anesthesia, Inc.
• Ardmore Chiropractic Clinic, Inc.
• Ardmore Counseling Associates, Inc.
• Ardmore Dialysis Ranch, Inc

• All providers in Ardmore, OK
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.

Verify at the official NPI Registry.