Individual provider Active NPI

David C. Mansfield, PA

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1902863327
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1197 Issued in OK
Practice address
2929 S Garnett Rd
C/O Medcenter
Tulsa, OK 74129-5101
Phone
(918) 665-1520
Fax
(405) 749-4561
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 1197 OK Primary

Addresses

Primary practice location

2929 S Garnett Rd
C/O Medcenter
Tulsa, OK 74129-5101

Mailing address

PO Box 22063
Dept 0289
Tulsa, OK 74121-2063
Phone (405) 751-4664

Other identifiers 1

IdentifierTypeStateIssuer
100203200AMedicaidOK

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
I20040123000439 OK Practitioner - Physician Assistant 5092617662 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillcrest Urgent Care, LLC 41 clinicians
Tulsa Emergency Medical Center Inc 23 clinicians

Practice addresses (Care Compare)

10221 E 81St St
Tulsa, OK 74133-4559
Phone (918) 252-9300

1217 E 48TH St
Suite 100
Tulsa, OK 74105-4701
Phone (918) 528-4897

13616 E 103Rd St N
Suite a
Owasso, OK 74055-4592
Phone (918) 274-8555

1623 S Utica Ave
Tulsa, OK 74104-4909
Phone (918) 392-5100

2140 S Yale Ave
Tulsa, OK 74114-2122
Phone (918) 712-9342

2254 W Rogers Blvd
Skiatook, OK 74070-3909
Phone (918) 895-9353

2929 S Garnett Rd
Tulsa, OK 74129-5101
Phone (918) 665-1520

401 W Blue Starr Dr
Claremore, OK 74017-4006
Phone (918) 343-6000

9716 Riverside Pkwy
Suite 100
Tulsa, OK 74137-7450
Phone (918) 528-4897

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: david.mansfieldpac.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: david.mansfieldpac.p10@direct.nextcare.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1902863327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22063",
            "address_2": "DEPT 0289",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741212063",
            "telephone_number": "405-751-4664",
            "fax_number": "405-749-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S GARNETT RD",
            "address_2": "C/O MEDCENTER",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295101",
            "telephone_number": "918-665-1520",
            "fax_number": "405-749-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "DAVID",
        "middle_name": "C.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100203200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.