Organization Active NPI

USA Medical, PA

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1750674172
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
K3775 Issued in TX
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

Updated by the provider on May 18, 2011

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)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.