Central PA, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1037 Issued in OK

Legal business name

CENTRAL PA, LLC

Practice address

3601 N May Ave
Suite C
Oklahoma City, OK 73112-6641

Phone

(405) 601-0954

Fax

(405) 601-3750

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Gregory Dinwiddie, P.A.

Title

Managing Member

Phone

(405) 601-0954

Specialties & licenses 1

Addresses

Tax ID family

Central PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central PA

  • Surgical Physician Assistant
  • Oklahoma City, OK
  • NPI 1104131721
  NPD tax ID

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1710289483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 POND MEADOW DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731519149",
            "telephone_number": "405-601-0954",
            "fax_number": "405-601-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N MAY AVE",
            "address_2": "SUITE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126641",
            "telephone_number": "405-601-0954",
            "fax_number": "405-601-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "DINWIDDIE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-601-0954",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Oklahoma Eye Associates, P.C.
• Central Oklahoma Hematology-Oncology Group PLLC
• Central Oklahoma Radiation Oncology PC
• Central Oklahoma United Methodist Retirement Facility Inc
• Central PA
• Central Pulmonary Rehab, LLC
• Centre for Therapy & Wellness Inc
• Samantha Cepeda
• Travis Darnell Cephus
• Amber Elizabeth Cerney, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.