Merry Mathew Thenmadathil, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1857 Issued in OK

Practice address

9900 Broadway Ext Ste 200
Oklahoma City, OK 73114-6323

Phone

(405) 608-8833

Fax

(405) 608-8188

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Merry Mathew Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Pediatric ENT of Oklahoma PLLC

  • Pediatric Otolaryngology Physician
  • Oklahoma City, OK
  • NPI 1346786308
  NPD
• McBride Clinic Orthopedic Hospital, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1932145505
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1548327653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BROADWAY EXT STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146323",
            "telephone_number": "405-608-8833",
            "fax_number": "405-608-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BROADWAY EXT STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146323",
            "telephone_number": "405-608-8833",
            "fax_number": "405-608-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THENMADATHIL",
        "first_name": "MERRY",
        "middle_name": "MATHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011540",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERRY",
            "last_name": "MATHEW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Therese Theisen, RBT
• Princess Thelisma
• Michael Isaiah Thellmann
• Harrison Kelly Themer
• Rosana Themistocles, CRNA
• Lara Theobald, MD
• Therapeutic Alliances
• Therapeutic Care Dimensions Inc
• Therapeutic Resolutions Inc
• Therapitas Okc, LLC

• Medical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.