Individual provider Active NPI

Amy K Hughes, PA

  • Physician Assistant
  • Mustang, OK
National Provider Identifier
1740259779
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
705 Issued in OK
Practice address
1440 N Mustang Rd
Mustang, OK 73064
Phone
(405) 280-7546
Fax
(405) 578-3350
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 705 OK Primary

Addresses

Primary practice location

1440 N Mustang Rd
Mustang, OK 73064

Mailing address

1440 N Mustang Rd
Mustang, OK 73064-7214
Phone (405) 280-7546

Other practice location 1

9720 Broadway Ext
Oklahoma City, OK 73114-6315
Phone (405) 280-7546

Other practice location 2

9720 Broadway Ext
Oklahoma City, OK 73114-6315
Phone (405) 280-7546

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
I20050412001113 OK Practitioner - Physician Assistant 1850344219 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Aug 17, 2009 Accepting new patients
Saint Medical Group, LLC CurrentSince Aug 11, 2009 Accepting new patients
Saints Medical Group, LLC CurrentSince Aug 17, 2009 Accepting new patients

Locations

1440 N Mustang Rd
Mustang, OK 73064
Phone (405) 280-7546

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

9720 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 280-7546

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

Interoperability endpoints

  • Direct secure messaging: ahughes41872@direct-ehr-ssmhc.com

Organizations & group practices 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1740259779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647214",
            "telephone_number": "405-280-7546",
            "fax_number": "405-578-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064",
            "telephone_number": "405-280-7546",
            "fax_number": "405-578-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9720 Broadway Ext",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731146315",
            "country_code": "US",
            "telephone_number": "405-280-7546",
            "fax_number": "405-772-8674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9720 Broadway Ext",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731146315",
            "country_code": "US",
            "telephone_number": "405-280-7546",
            "fax_number": "405-772-8674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

Verify at the official NPI Registry.