Active NPI
David C. Mansfield, PA
- Physician Assistant
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1197
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100203200A | Medicaid | OK |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLCTulsa Emergency Medical Center Inc
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
- david.mansfieldpac.p8@direct.nextcare.nextgenshare.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.