Individual provider Active NPI

Amber Renee Kammerlocher, PA

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1548098825
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5296 Issued in OK
Practice address
8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475
Phone
(405) 632-4468
Fax
(405) 632-0436
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5296 OK Primary

Addresses

Primary practice location

8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475

Mailing address

8100 S Walker Ave BLDG a
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240815004771 OK Practitioner - Physician Assistant 3173061553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Orthopaedic Specialists, PLLCGroup PAC ID 9931180346, 21 clinicians

Practice addresses (Care Compare)

2116 W Iowa Ave
Chickasha, OK 73018-2736
Phone (405) 632-4468

2506 N Harrison St
Shawnee, OK 74804-3131
Phone (405) 395-9050

6001 NW 139TH St
Suite a
Oklahoma City, OK 73142-1919
Phone (405) 635-3511

8100 S Walker Ave
BLDG a
Oklahoma City, OK 73139-9475

8100 S Walker Ave BLDG a
Southwest Orthopaedic and Reconstructive
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Hospital & facility affiliations

  • Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212
  • Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5296OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orthopaedic Specialists, P.L.L.C. CurrentSince Jul 30, 2024 Accepting new patients
Southwest Orthopaedic Specialists, PLLC CurrentSince Jul 30, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

8100 S Walker Ave
Bldg A
Oklahoma City, OK 73139

8100 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 602-6500

401 SW 80th St
Ste 200
Oklahoma City, OK 73139
Phone (405) 601-4227

Interoperability endpoints

  • Direct secure messaging: akammerlocher404023@direct.integrisok.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1548098825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE BLDG A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399475",
            "telephone_number": "405-632-4468",
            "fax_number": "405-632-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE BLDG A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399475",
            "telephone_number": "405-632-4468",
            "fax_number": "405-632-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMERLOCHER",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.