NPIMap

Individual provider Active NPI

Kristopher Tenpenny, P.A.

  • Medical Physician Assistant
  • Guthrie, OK
National Provider Identifier
1942320684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1310 Issued in OK
Practice address
205 S Academy Rd
Suite D
Guthrie, OK 73044-8727
Phone
(405) 282-9449
Fax
(405) 282-5321
NPI assigned
Mar 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1310 OK Primary

Addresses

Primary practice location

205 S Academy Rd
Suite D
Guthrie, OK 73044-8727

Mailing address

PO Box 12093
Oklahoma City, OK 73157-2093
Phone (405) 816-4031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820000881 OK Practitioner - Physician Assistant 6800783168 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1310OKMDPhysical Therapy Assistant
PA1310OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norstar Emergency Physicians Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Surgical Specialists of Oklahoma Past Accepting new patients
Lightstar Emergency Physicians, PLLC Past Accepting new patients
The Rogers Clinic Past Accepting new patients
Morningstar Emergency Physicians PLLC Past Accepting new patients

Organizations & group practices 10

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942320684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12093",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572093",
            "telephone_number": "405-816-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S ACADEMY RD",
            "address_2": "SUITE D",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730448727",
            "telephone_number": "405-282-9449",
            "fax_number": "405-282-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENPENNY",
        "first_name": "KRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA1310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.