Madison Austin
Individual provider Active NPI Medical Physician Assistant · Del City, OK
NPI 1962097675 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1962097675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 4500 (OK)
- Practice address
- 1221 S Sunnylane Rd
Del City, OK 73115-3018 - Phone
- (405) 677-2424
- NPI assigned
- Mar 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- James S Choe MD PLLC
Practice addresses (Care Compare)
1221 S Sunnylane Rd
Del City, OK 73115-3011
1221 S Sunnylane Rd
Del City, OK 73115-3018
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Midwest
- Integris Southwest Medical Center
- Oklahoma Center for Orthopaedic & Multi-SP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210429000077 | OK | Practitioner - Physician Assistant | 5193134302 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4500 | OK | MD | Medical Physician Assistant |
Interoperability endpoints
- maustin225834@direct.integrisok.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4500 | OK | Yes |
Addresses
Primary practice location
1221 S Sunnylane Rd
Del City, OK 73115-3018
Mailing address
1221 S Sunnylane Rd
Del City, OK 73115-3018
Phone (405) 677-2424
Other providers in Del City, OK
- American Foot Clinic Inc
- Janai Anderson
- Troy Lee Anderson
- Ronda M Armendariz
- Oyindamola Asebiomo
- Kayla Barczak
- Cynthia A Barger-Fenton
- Brianne Barnett
- Amy F Barringer
- Jasmine Jiovanni Battle
All providers in Del City, OK · Medical Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.