Active NPI
Elizabeth Kemp Garone, PA-C, MHS
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1649485533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1676
- Practice address
- 13821 Technology Dr Ste B
Oklahoma City, OK 73134-1046 - Phone
- (405) 451-3454
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA02443 | TX | |
| Physician Assistant | 363A00000X | 1676 | OK | Primary |
Addresses
Primary practice location
13821 Technology Dr Ste B
Oklahoma City, OK 73134-1046
Mailing address
13821 Technology Dr Ste B
Oklahoma City, OK 73134-1046
Phone (405) 451-3454
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02443 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traditions Hospice of Tulsa, LLC | Past | Accepting new patients | |
| Oklahoma Otolaryngology Hearing Center Inc | Past | Accepting new patients |
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.
-
dba Oklahoma Hearing Center
- Audiologist
- Edmond, OK
- NPI 1356788954
-
dba Traditions Health of Tulsa
- Community Based Hospice Care Agency
- Tulsa, OK
- NPI 1255877718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633737600000",
"number": "1649485533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13821 TECHNOLOGY DR STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341046",
"telephone_number": "405-451-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13821 TECHNOLOGY DR STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341046",
"telephone_number": "405-451-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARONE",
"first_name": "ELIZABETH",
"middle_name": "KEMP",
"name_prefix": "Mrs.",
"credential": "PA-C, MHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2021-10-09",
"certification_date": "2021-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA02443",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 9, 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.