CENTRAL PA, LLC (NPI# 1710289483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710289483 |
| Entity Type | Organization |
| Organization Name | CENTRAL PA, LLC |
| Practice Address |
3601 N May Ave Suite C Oklahoma City OK 73112-6641 |
| Mailing Address |
10701 Pond Meadow Dr Oklahoma City OK 73151-9149 |
| Practice Telephone | 4056010954 |
| Practice Fax Number | 4056013750 |
| Mailing Telephone | 4056010954 |
| Mailing Fax Number | 4056013750 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | GREGORY DINWIDDIE (MANAGING MEMBER) |
| Authorized Official Telephone | 4056010954 |
| Authorized Official Credential | P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1037 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3601 N MAY AVE SUITE C |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-6641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477502995 | Edna Daniel | Anesthesiology | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6606 | 2006-05-10 |
| 1326583980 | Sachin Patel | Perfusionist | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2017-01-05 |
| 1619366473 | Callie Marie Coale | Registered Nurse | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2015-01-16 |
| 1164828133 | Nick D Rosecrans | Perfusionist | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2014-11-18 |
| 1477809648 | Wesley A. Lower | Perfusionist | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2012-07-25 |
| 1093071805 | Jenny L Wilson | Registered Nurse | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2012-04-05 |
| 1972870004 | Kathy A Barnhill | Perfusionist | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2011-11-17 |
| 1285910844 | Perfusion Alliance LLC | Perfusionist | 3601 N May Ave, Ste C, Oklahoma City, OK 73112-6641 | 2011-10-27 |
| 1851686190 | Brittany Marie Hunyadi | Perfusionist | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2011-06-15 |
| 1992096986 | Richard C. Booth | Perfusionist | 3601 N May Ave, Suite C, Oklahoma City, OK 73112-6641 | 2011-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093290132 | Nisha Panta | Physician Assistant | 4120 W Memorial Rd # 300, Oklahoma City, OK 73120-9322 | 2018-09-25 |
| 1104216662 | Morgan Hanni | Physician Assistant | 3520 Nw 20th St, Oklahoma City, OK 73107-2818 | 2015-02-04 |
| 1518204056 | Dustin William Tims | Physician Assistant | 11317 S Western Ave Ste 300, Oklahoma City, OK 73170-5848 | 2013-01-03 |
| 1710282660 | Amir Raza | Physician Assistant | 925 Ne 13th Street, Cho 2mr2000d, Oklahoma City, OK 73104-5068 | 2011-01-24 |
| 1104131721 | Central Pa | Physician Assistant | 10701 Pond Meadow Dr, Oklahoma City, OK 73151-9149 | 2010-08-09 |
| 1508855677 | Mark Daniel Johnson | Physician Assistant | 13401 N Western Ave Ste 301, Oklahoma City, OK 73114-1411 | 2005-10-20 |
| 1306840327 | Kendall Leigh Phillips | Physician Assistant | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-06-08 |
| 1649642919 | Eric Ramos | Physician Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2015-10-27 |
| 1649664392 | Kayla Michelle Hale | Physician Assistant | 13904 Quailbrook Dr, Oklahoma City, OK 73134-1718 | 2015-03-20 |
| 1972992485 | Nathan James Charlton | Physician Assistant | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2015-01-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on CENTRAL PA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.