Individual provider Active NPI

Parnell Ray Adams, PA-C

  • Physician Assistant
  • Ponca City, OK
National Provider Identifier
1801810783
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
798 Issued in OK
Practice address
2101 N 14TH St
Ste 114
Ponca City, OK 74601-1807
Phone
(580) 762-1552
NPI assigned
Jul 26, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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 798 OK Primary

Addresses

Primary practice location

2101 N 14TH St
Ste 114
Ponca City, OK 74601-1807

Mailing address

2101 N 14TH St
Ste 114
Ponca City, OK 74601-1807
Phone (580) 762-1552

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
I20061007000016 OK Practitioner - Physician Assistant 9739184607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AMC Urgent Care Plus LLCGroup PAC ID 3971509381, 16 clinicians

Practice addresses (Care Compare)

1909 W 6TH Ave
Suite B
Stillwater, OK 74074-4204
Phone (405) 385-0029

2101 N 14TH St
Ponca City, OK 74601-1807
Phone (580) 762-2366

816 W Tucson St
Broken Arrow, OK 74011-7290
Phone (580) 762-2366

9003 N Garnett Rd
Owasso, OK 74055-4495
Phone (918) 272-2882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
798OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohh Physicians, LLC Past Accepting new patients
Jeffrey R Shuart MD PC PastSince Oct 1, 1996 Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • Direct secure messaging: parnell.adams.1@31440.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1801810783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 14TH ST",
            "address_2": "STE 114",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011807",
            "telephone_number": "580-762-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N 14TH ST",
            "address_2": "STE 114",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011807",
            "telephone_number": "580-762-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "PARNELL",
        "middle_name": "RAY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.