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
Hospital & facility affiliations 4
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
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
- O U Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221205002063 | OK | Practitioner - Physician Assistant | 6901275494 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4881 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Oluwaseun Desmond Aikhorin
- Aim Health Clinics, LLC
- Aim Higher ABA Ok LLC
- Aimee Ahpeatone LLC
- Isaac Ainsworth
- Mackenzie Lynn Ainsworth
- Kari M Ait Moussa
- Jolene Aitken
- Jeremy Aitson
- Joseph James Aitson III
All providers in Oklahoma City, OK · Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.