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

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.Group PAC ID 3870554645, 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 enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

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

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.

• Michael G. McCauley M.D. Inc.

  • Dermatology Physician
  • Ardmore, OK
  • NPI 1295753986
  Medicare reassignment Care Compare group

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

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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 (Cornerstone Family Health Care)
• 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

• Physician Assistant in Ardmore, OK
• Providers in Ardmore, OK by specialty
• 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.