Jill D. McGraw, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1636 Issued in OK

Practice address

619 NE 13TH St
Oklahoma City, OK 73104-5071

Phone

(405) 271-6110

Fax

(405) 271-7216

NPI assigned

Mar 22, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Abbott Dermatology P C

  • Dermatopathology Physician
  • Oklahoma City, OK
  • NPI 1982658167
  NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1558487363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045071",
            "telephone_number": "405-271-6110",
            "fax_number": "405-271-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045071",
            "telephone_number": "405-271-6110",
            "fax_number": "405-271-7216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 Lake Pointe Pkwy Ste 416",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774784095",
            "country_code": "US",
            "telephone_number": "281-494-0050",
            "fax_number": "281-494-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731092413",
            "country_code": "US",
            "telephone_number": "405-632-5565",
            "fax_number": "405-632-3538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2644 NW 63rd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731164902",
            "country_code": "US",
            "telephone_number": "405-254-5565",
            "fax_number": "405-254-5569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "JILL",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03667",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann McGowen, LPC
• Nan L McGowen
• Felicia Leigh McGowin, M.ED., LPC
• Katelyn Kay McGrath
• Brandon Garrett McGraw
• Kyle D McGraw, LPC
• Lisa McGraw, M.S., FAAA
• Kathleen Elizabeth McGreevey, MD
• Stephanie McGregor, LCSW
• Amelia Danielle McGriff

• 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 Apr 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.