Active NPI
Mallory Callins
- Physician Assistant
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8325 NW Expressway
Oklahoma City, OK 73162-6006 - Phone
- (405) 728-8000
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
8325 NW Expressway
Oklahoma City, OK 73162-6006
Mailing address
1066 Mulbury Mansion
Yukon, OK 73099-2109
Phone (913) 683-8787
Other practice location 1
1504 Greenway Dr Apt C
Eudora, KS 66025-9567
Phone (913) 683-8787
Other names 1
- Mallory Kramer
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455
8325 NW Expressway
Oklahoma City, OK 73162-6006
Phone (405) 728-8000
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Interoperability endpoints
- mcallins1326982@directc.mercy.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1629700802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 MULBURY MANSION",
"city": "YUKON",
"state": "OK",
"postal_code": "730992109",
"telephone_number": "913-683-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731626006",
"telephone_number": "405-728-8000"
}
],
"practiceLocations": [
{
"address_1": "1504 Greenway Dr Apt C",
"address_purpose": "LOCATION",
"city": "Eudora",
"state": "KS",
"postal_code": "660259567",
"country_code": "US",
"telephone_number": "913-683-8787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLINS",
"first_name": "MALLORY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALLORY",
"last_name": "KRAMER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.