Active NPI
John Clausen, P.A.
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1700838174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA664
- Practice address
- 5501 N Portland Ave
Oklahoma City, OK 73112-2074 - Phone
- (405) 604-6000
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA664 | OK | Primary |
Addresses
Primary practice location
5501 N Portland Ave
Oklahoma City, OK 73112-2074
Mailing address
601 NW 48TH St
Oklahoma City, OK 73118-6620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100096800A | Medicaid | OK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA664 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1700838174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 NW 48TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731186620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 N PORTLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122074",
"telephone_number": "405-604-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUSEN",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "PA664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100096800A",
"state": "OK"
}
],
"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 Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.