Alex E Medgaarden, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1876 Issued in OK

Practice address

16325 N May Ave Ste B6
Edmond, OK 73013-9142

Phone

(405) 920-3901

Fax

(405) 920-3899

NPI assigned

Jan 26, 2010

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Oklahoma Ambulatory Services LLCGroup PAC ID 9830447036, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mercy Oklahoma Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1922509173
  Medicare reassignment Care Compare group
• Aquilo Health Company P C Dba Canadian Valley Family Care

  • Family Medicine Physician
  • Yukon, OK
  • NPI 1891869822
  Medicare reassignment
• Total Wellness

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1841616828
  Medicare reassignment
• Mercy Hospital Oklahoma City, Inc

  • Diagnostic Radiology Physician
  • Yukon, OK
  • NPI 1730326406
  NPD (past)
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1922339290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16325 N MAY AVE STE B6",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139142",
            "telephone_number": "405-920-3901",
            "fax_number": "405-920-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 N MAY AVE STE B6",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139142",
            "telephone_number": "405-920-3901",
            "fax_number": "405-920-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDGAARDEN",
        "first_name": "ALEX",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty R Meadows, MA, CCC-SLP
• Sarah Lea Mears-Ivy, LPC
• Martin A Mears, D.C.
• Med Southwest, PLLC (MyEyeDr.)
• Medcology LLC (Boulevard Family Practice)
• Medi Practice Management LLC
• Medical Enterprises Inc.
• Medical Resource Management, LLC (Access Medical Center)
• Medical West Respiratory Central , LLC
• Shannon Medley, P.A.-C

• Physician Assistant in Edmond, OK
• Providers in Edmond, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.

Verify at the official NPI Registry.