Active NPI
Michelle McNamara, PA-C
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1730702895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3218
- Practice address
- 1000 N Lee Ave
Oklahoma City, OK 73102-1036 - Phone
- (405) 272-7000
- NPI assigned
- May 24, 2020
- Last updated
- Mar 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3218 | OK | Primary |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Mailing address
801 NW 10TH St Apt 54
Oklahoma City, OK 73106-6903
Phone (918) 760-0246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Colorado, PC | Physician Assistant | Current | Accepting new patients |
| Emergency Professionals of Colorado, PC | Physician Assistant | Past | Accepting new patients |
| Emergency Professionals of Colorado, PC | Physician Assistant | Past | Accepting new patients |
| Emergency Professionals of Colorado, PC | Physician Assistant | Past | Accepting new patients |
Locations
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Loveland, CO
- NPI 1396496469
Physician Assistant
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Emergency Medicine Physician
- Greeley, CO
- NPI 1306421201
Physician Assistant
-
- Emergency Medicine Physician
- Sterling, CO
- NPI 1558946467
Physician Assistant
-
- Emergency Medicine Physician
- Fort Collins, CO
- NPI 1588249494
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1730702895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 NW 10TH ST APT 54",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731066903",
"telephone_number": "918-760-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N LEE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021036",
"telephone_number": "405-272-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-24",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "3218",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Mar 19, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.