Active NPI
USA Medical, PA
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1750674172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- K3775
- Legal business name
- USA MEDICAL, PA
- Practice address
- 2410 W Memorial Rd
Suite C432
Oklahoma City, OK 73134-8047 - Phone
- (240) 235-5895
- Fax
- (214) 276-1359
- NPI assigned
- May 18, 2011
- 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
- Dr. Lisa Johnson Kirk, D.O
- Title
- Director
- Phone
- (240) 235-5895
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | K3775 | TX | Primary |
Addresses
Primary practice location
2410 W Memorial Rd
Suite C432
Oklahoma City, OK 73134-8047
Mailing address
PO Box 797604
Dallas, TX 75379-7604
Phone (214) 235-5895
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Irving, TX
- NPI 1396784492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305676800000",
"number": "1750674172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 797604",
"city": "DALLAS",
"state": "TX",
"postal_code": "753797604",
"telephone_number": "214-235-5895",
"fax_number": "214-276-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 W MEMORIAL RD",
"address_2": "SUITE C432",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731348047",
"telephone_number": "240-235-5895",
"fax_number": "214-276-1359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USA MEDICAL, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "JOHNSON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "240-235-5895",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": "K3775",
"primary": true
}
],
"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 May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.