Individual provider Active NPI

Ashleigh Ahrberg, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1659650125
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2032 Issued in OK
Practice address
9900 Broadway Ext Ste 200
Oklahoma City, OK 73114-6323
Phone
(405) 608-8833
Fax
(405) 608-8818
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2032 OK Primary

Addresses

Primary practice location

9900 Broadway Ext Ste 200
Oklahoma City, OK 73114-6323

Mailing address

9900 Broadway Ext Ste 200
Oklahoma City, OK 73114-6323
Phone (405) 608-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2032OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric ENT of Oklahoma PLLC CurrentSince Apr 1, 2017 Accepting new patients
Summit Medical Center Past Accepting new patients
McBride Clinic Orthopedic Hospital, LLC Past Accepting new patients

Locations

9900 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 608-8833

10914 Hefner Pointe Dr
Oklahoma City, OK 73120
Phone (405) 488-7226

9900 Broadway Ext
Ste 200
Oklahoma City, OK 73114
Phone (405) 608-8833

Organizations & group practices 3

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1659650125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BROADWAY EXT STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146323",
            "telephone_number": "405-608-8833",
            "fax_number": "405-608-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BROADWAY EXT STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146323",
            "telephone_number": "405-608-8833",
            "fax_number": "405-608-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRBERG",
        "first_name": "ASHLEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2032",
            "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 Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.