Active NPI
Juan Espino, PA-C
- Physician Assistant
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1809 E 13TH St Ste 402
Tulsa, OK 74104-4431 - Phone
- (918) 599-8200
- NPI assigned
- Feb 28, 2023
- 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 | Primary |
Addresses
Primary practice location
1809 E 13TH St Ste 402
Tulsa, OK 74104-4431
Mailing address
1809 E 13TH St Ste 402
Tulsa, OK 74104-4431
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
Hospital & facility affiliations
- Hillcrest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Physician Assistant | Current | Accepting new patients |
Locations
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
1809 E 13th St
Ste 402
Tulsa, OK 74104
Phone (918) 579-2300
Dept 1206
Tulsa, OK 74182
1809 E 13th St
Ste 400
Tulsa, OK 74104
Phone (918) 599-8200
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
- jespino838414@ahs.direct-ci.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1982303988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 E 13TH ST STE 402",
"city": "TULSA",
"state": "OK",
"postal_code": "741044431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 E 13TH ST STE 402",
"city": "TULSA",
"state": "OK",
"postal_code": "741044431",
"telephone_number": "918-599-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINO",
"first_name": "JUAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 28, 2023; 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.