Amber Marie Meiwes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2256 Issued in OK

Practice address

63 Gooder Simpson Blvd
Piedmont, OK 73078-9215

Phone

(405) 373-0380

Fax

(405) 373-0457

NPI assigned

Mar 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ameiwes208813@direct.integrisok.com

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.

• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment
• Mercy Hospital Logan County Inc

  • Critical Access Hospital
  • Guthrie, OK
  • NPI 1306126818
  Medicare reassignment
• Mercy Hospital Logan County, Inc

  • Rural Health Clinic/Center
  • Crescent, OK
  • NPI 1659652071
  NPD
• Mercy Hospital Logan County, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Guthrie, OK
  • NPI 1700169497
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1639411630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 QUAIL POINTE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341006",
            "telephone_number": "405-419-8465",
            "fax_number": "405-419-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GOODER SIMPSON BLVD",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730789215",
            "telephone_number": "405-373-0380",
            "fax_number": "405-373-0457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N University Dr",
            "address_2": "Wellness Ctr Room",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730345207",
            "country_code": "US",
            "telephone_number": "405-974-2317",
            "fax_number": "405-974-3832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIWES",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": ".",
            "identifier": ".",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".",
            "affiliation": "N",
            "address_1": "63 Gooder Simpson Blvd",
            "city": "Piedmont",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730789215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Mankuburigi Mate-Kole, NURSE PRACTITIONER
• Maurice Ernest Corman M D PLLC
• Alex Maxwell, DPT
• Jessa McDonald
• Christa Dione McKnight
• Dawn Rachae Millard, BA, BHRS
• Michelle Ann Milligan, FNP-C
• Vernon B Millspaugh II, DC
• Brittany Mixon
• Melissa Morgan, RN

• Physician Assistant in Piedmont, OK
• Providers in Piedmont, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.