Pamela E Ahearn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19862 Issued in OK

Practice address

714 Highway 70 E
Kingston, OK 73439

Phone

(580) 564-0200

Fax

(580) 564-0201

NPI assigned

Jul 26, 2005

Last updated

Jul 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Pamela E Delashaw Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lakeside Family Medicine

  • Family Medicine Physician
  • Kingston, OK
  • NPI 1790188639
  Authorized official Same address or phone
• Oklahoma Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Durant, OK
  • NPI 1891039764
  NPD
• Baptist Healthcare of Oklahoma Inc

  dba Integris Homecare Solutions Hospice

  • Community Based Hospice Care Agency
  • Madill, OK
  • NPI 1124040217
  NPD (past)
• Baptist Healthcare of Oklahoma, Inc

  dba Integris Homecare Solutions Home Health

  • Home Health Agency
  • Madill, OK
  • NPI 1639192727
  NPD (past)
• Marshall County Hma LLC

  dba INTEGRIS Kingston Medical Clinic

  • Family Medicine Physician
  • Kingston, OK
  • NPI 1659372712
  NPD (past)
• Marshall County HMPN, LLC

  • Family Medicine Physician
  • Madill, OK
  • NPI 1780955898
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1780684357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 US HWY 75 S, SUITE 300",
            "address_2": "ATT: BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "580-920-2273",
            "fax_number": "580-920-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HIGHWAY 70 E",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "73439",
            "telephone_number": "580-564-0200",
            "fax_number": "580-564-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1807 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013011",
            "country_code": "US",
            "telephone_number": "580-920-2273",
            "fax_number": "580-920-9978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3126 W Fm 120",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750201249",
            "country_code": "US",
            "telephone_number": "903-416-7544",
            "fax_number": "903-416-7545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 HOSPITAL DR",
            "address_purpose": "LOCATION",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "73446",
            "country_code": "US",
            "telephone_number": "580-795-0191",
            "fax_number": "580-795-0194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "PAMELA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2077",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "19862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DELASHAW",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• A Path of Care Home Health V, LLC (A Path of Care Home Health)
• Charles Robert Anderson, B.S.
• Kartika Rasberry Anderson
• Lexie Darlene Avery, MHP
• Ayandeh Health LLC
• Bagwell Family Medicine P.L.L.C.

• Family Medicine Physician in Kingston, OK
• Providers in Kingston, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.

Verify at the official NPI Registry.