Active NPI
Karissa Misner PLLC
- Physical Medicine & Rehabilitation Physician
- Muskogee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4643
- Legal business name
- KARISSA MISNER PLLC
- Practice address
- 300 Rockefeller Dr
Rehabilitation Unit
Muskogee, OK 74401-5075 - Phone
- (918) 684-2522
- Fax
- (918) 684-2493
- NPI assigned
- Apr 30, 2012
- Last updated
- Dec 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karissa M Misner
- Title
- Owner
- Phone
- (918) 894-9162
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4643 | OK | Primary |
Addresses
Primary practice location
300 Rockefeller Dr
Rehabilitation Unit
Muskogee, OK 74401-5075
Mailing address
1216 E Kenosha St
PMB 326
Broken Arrow, OK 74012-2007
Phone (918) 615-6581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200474240A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
1216 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 630-3001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Muskogee, OK
- NPI 1063566818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388448000000",
"number": "1740548551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 E KENOSHA ST",
"address_2": "PMB 326",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122007",
"telephone_number": "918-615-6581",
"fax_number": "918-893-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ROCKEFELLER DR",
"address_2": "REHABILITATION UNIT",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015075",
"telephone_number": "918-684-2522",
"fax_number": "918-684-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARISSA MISNER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-30",
"last_updated": "2013-12-31",
"status": "A",
"authorized_official_last_name": "MISNER",
"authorized_official_first_name": "KARISSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-894-9162"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OK",
"license": "4643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200474240A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.