Jared Remmington Ainsworth, PA-C

Individual provider Active NPI Physician Assistant · Oklahoma City, OK

NPI 1609590645 · NPPES record last updated Sep 22, 2023

Key facts

NPI
1609590645
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
4881 (OK)
Practice address
2130 SW 59TH St
Oklahoma City, OK 73119-7025
Phone
(403) 303-7555
Fax
(405) 561-5615
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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 4

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Oklahoma, LLC (31 clinicians)

Practice addresses (Care Compare)

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

2130 SW 59TH St
Oklahoma City, OK 73119-7025
Phone (405) 303-7555

Hospital & facility affiliations

  • Integris Southwest Medical Center Hospital · Oklahoma City, OK · CCN 370106
  • O U Medical Center Hospital · Oklahoma City, OK · CCN 370093

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221205002063 OK Practitioner - Physician Assistant 6901275494 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4881OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc Current
since Nov 14, 2022
Accepting new patients
Oak Street Health of Georgia PC Past Accepting new patients

Locations

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 4881 OK Yes

Addresses

Primary practice location

2130 SW 59TH St
Oklahoma City, OK 73119-7025

Mailing address

PO Box 740020
Atlanta, GA 30374-0020
Phone (312) 733-9730

Other practice location 1

700 NE 13th St
Oklahoma City, OK 73104-5004
Phone (405) 271-6173 ext. 46247

Other practice location 2

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

Other practice location 3

7521 SE 15th St
Midwest City, OK 73110-5425
Phone (405) 453-8004

Other practice location 4

11511 E 31st St
Tulsa, OK 74146-1908
Phone (918) 400-7002

Other practice location 5

1918 NE 23rd St
Oklahoma City, OK 73111-3328
Phone (405) 453-8000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 22, 2023.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1609590645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740020",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740020",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197025",
            "telephone_number": "403-303-7555",
            "fax_number": "405-561-5615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045004",
            "country_code": "US",
            "telephone_number": "405-271-6173 x46247",
            "fax_number": "405-271-5892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1538 N Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741102535",
            "country_code": "US",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7521 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731105425",
            "country_code": "US",
            "telephone_number": "405-453-8004",
            "fax_number": "405-561-4857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11511 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741461908",
            "country_code": "US",
            "telephone_number": "918-400-7002",
            "fax_number": "539-202-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 NE 23rd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731113328",
            "country_code": "US",
            "telephone_number": "405-453-8000",
            "fax_number": "405-561-4984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "JARED",
        "middle_name": "REMMINGTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Physician Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.