Donald A Guthrie Jr., PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

343 Issued in OK

Practice address

1211 N Shartel
Suite 900
Oklahoma City, OK 73103-2477

Phone

(405) 235-5331

Fax

(405) 235-0825

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unified Pain Group LLCGroup PAC ID 1951775493, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Unified Pain Group LLC

  • Pain Clinic/Center
  • Oklahoma City, OK
  • NPI 1437866886
  Medicare reassignment Care Compare group Authorized official
• Lighthouse Healthcare, LLC

  • Clinic/Center
  • Oklahoma City, OK
  • NPI 1588997423
  Medicare reassignment Authorized official
• Advance Physicians Group

  dba First Med Urgent Care

  • Urgent Care Clinic/Center
  • Shawnee, OK
  • NPI 1750395448
  NPD
• Chris Parks Inc.

  • Specialist
  • Oklahoma City, OK
  • NPI 1124248323
  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1699786483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 NW EXPRESSWAY STE 120",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325128",
            "telephone_number": "405-445-3697",
            "fax_number": "405-212-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL",
            "address_2": "SUITE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032477",
            "telephone_number": "405-235-5331",
            "fax_number": "405-235-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "DONALD",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen K Gustafson
• Lauren Gustas
• Andrew Cleveland Guthrie, D.D.S.
• Brack Allen Guthrie, APRN
• Cecilia Carubelli Guthrie, M.D.
• Genevieve Guthrie
• Janice Dawn Guthrie, APRN
• John R Guthrie
• Kenneth W Guthrie, O.D
• Maria Engracia Gutierrez Saldana

• Medical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.