Alise A Osis, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2036 Issued in OK

Practice address

620 Elm Ave
Norman, OK 73019-3146

Phone

(405) 325-4611

Fax

(405) 325-7065

NPI assigned

May 3, 2006

Last updated

Sep 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Board of Regents of the University of Oklahoma--Ou Health ServicesGroup PAC ID 9931386927, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Board of Regents of the University of Oklahoma--Ou Health Services

  • Student Health Clinic/Center
  • Norman, OK
  • NPI 1548372626
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1982662227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ELM AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730193146",
            "telephone_number": "405-325-4611",
            "fax_number": "405-325-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ELM AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730193146",
            "telephone_number": "405-325-4611",
            "fax_number": "405-325-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIS",
        "first_name": "ALISE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA001178",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2007028409",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA2036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00657552",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaun'Tae N Osborne-Franklin
• Oscar D James MD PLLC
• Nana Akoma Osei, PHARMD
• Oghenetega Osiki
• Kathryn Osinde, LCSW
• Chantal Danae Oste, OTR/L
• Osu Center for Health Sciences (Osu-Aj Pediatric ENT at McBride-Norman)
• Osu Center for Health Sciences (Osu-Aj Norman Regional Healthplex)
• Osu Center for Health Sciences (Osu-Aj Norman Regional Hospital ER)
• Osu Center for Health Sciences (Osu-Aj Norman Regional Highway Nine)

• Medical Physician Assistant in Norman, OK
• Providers in Norman, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.