Individual provider Active NPI

Amy Hannington, PA

  • Medical Physician Assistant
  • Lawton, OK
National Provider Identifier
1730554338
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1202 NW Arlington Ave
Lawton, OK 73507-6537
Phone
(580) 248-2288
NPI assigned
Dec 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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 Primary

Addresses

Primary practice location

1202 NW Arlington Ave
Lawton, OK 73507-6537

Mailing address

1202 NW Arlington Ave
Lawton, OK 73507-6537
Phone (580) 248-2288

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
I20160130000035 OK Practitioner - Physician Assistant 9133422827 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2623OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2016 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2016 Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Comanche County Healthcare Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1202 NW Arlington Ave
Lawton, OK 73507
Phone (580) 248-2288

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

Interoperability endpoints

  • Direct secure messaging: amy.hannington@lawtoncommunityhealthcenter.eclinicaldirectplus.com

Organizations & group practices 6

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": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1730554338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 NW ARLINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735076537",
            "telephone_number": "580-248-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 NW ARLINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735076537",
            "telephone_number": "580-248-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNINGTON",
        "first_name": "AMY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.