Individual provider Active NPI

Adam Oren Makin, PA-C

  • Physician Assistant
  • Muskogee, OK
National Provider Identifier
1659503407
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1792 Issued in OK
Practice address
2525 Chandler Rd
Muskogee, OK 74403-5088
Phone
(918) 681-7533
NPI assigned
Aug 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1792 OK Primary

Addresses

Primary practice location

2525 Chandler Rd
Muskogee, OK 74403-5088

Mailing address

2525 Chandler Rd
Muskogee, OK 74403-5088
Phone (918) 681-7533

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150420000266 OK Practitioner - Physician Assistant 5890013049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

220 S Van Buren St
Xpress Wellness Urgent Care
Enid, OK 73703-5812
Phone (580) 234-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1792OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Feb 28, 2019 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 28, 2019 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 28, 2019 Accepting new patients

Locations

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2525 Chandler Rd
Muskogee, OK 74403
Phone (918) 232-0768

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820

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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1659503407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CHANDLER RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035088",
            "telephone_number": "918-681-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CHANDLER RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035088",
            "telephone_number": "918-681-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKIN",
        "first_name": "ADAM",
        "middle_name": "OREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.