Individual provider Active NPI

Paul F Lowe, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1659697779
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1886 Issued in OK
Practice address
415 SW 59TH St
(Inside Il Mariachi)
Oklahoma City, OK 73109-8303
Phone
(405) 631-0611
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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 PA1886 OK Primary

Addresses

Primary practice location

415 SW 59TH St
(Inside Il Mariachi)
Oklahoma City, OK 73109-8303

Mailing address

415 SW 59TH St
(Inside Il Mariachi)
Oklahoma City, OK 73109-8303
Phone (405) 631-0611

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
I20120213000227 OK Practitioner - Physician Assistant 7214194612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Psychiatric Clinic Clinton LLCGroup PAC ID 4486150364, 3 clinicians
Life Psychiatric Clinic PLLCGroup PAC ID 7618372764, 3 clinicians

Practice addresses (Care Compare)

545 S 30TH St
Clinton, OK 73601-3656
Phone (580) 547-4087

609 S Kelly Ave
Suite B2
Edmond, OK 73003-5725
Phone (405) 724-6871

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1886OKMDRegistered Dietitian
PA1886OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PFL Medical LTD Co Current Accepting new patients
Lindsay Brooke Dlugonski LLC PastSince Jun 21, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paul.lowe.1@17372.direct.athenahealth.com

Organizations & group practices 5

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1659697779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SW 59TH ST",
            "address_2": "(INSIDE IL MARIACHI)",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731098303",
            "telephone_number": "405-631-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SW 59TH ST",
            "address_2": "(INSIDE IL MARIACHI)",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731098303",
            "telephone_number": "405-631-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA1886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.