DAGENAIS & ASSOCIATES MEDICAL CLINIC, LLC
NPI 1043618572
Physician Assistant - Medical in Pawhuska, OK

Q: What is Dagenais & Associates Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since December 16, 2014

137 EAST MAIN, PAWHUSKA, OK 74056(918) 217-8696(918) 217-8696 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dagenais & Associates Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAGENAIS & ASSOCIATES MEDICAL CLINIC, LLC (NPI 1043618572) is a healthcare organization registered as a medical in Pawhuska, Oklahoma and active in the NPI registry since December 2014. The organization lists Mary Jane Dagenais, Owner, as its authorized official.

NPPES Registry Identity

NPI1043618572

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameDAGENAIS & ASSOCIATES MEDICAL CLINIC, LLC

Location Address137 EAST MAINPawhuska, OK 74056

Mailing Address539 Leahy AvePawhuska, OK 74056-5241 · (918) 217-8696 · Fax (918) 217-8696

Phone(918) 217-8696

Fax(918) 217-8696

Organization SubpartNo

Authorized OfficialMary Jane DagenaisOwner · (918) 217-8696

Enumeration DateDecember 16, 2014

Last NPPES UpdateMarch 23, 2020

NPPES CertifiedMarch 23, 2020

✔ NPI 1043618572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · 1218

137 EAST MAIN, Pawhuska, OK 74056

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dagenais & Associates Medical Clinic, LLC's NPI number?

The NPI number for Dagenais & Associates Medical Clinic, LLC is 1043618572. It was assigned to this organization in the NPPES registry on December 16, 2014.

Where is Dagenais & Associates Medical Clinic, LLC located?

Dagenais & Associates Medical Clinic, LLC is located at 137 East Main, Pawhuska, OK 74056. The listed phone number is (918) 217-8696.

What is Dagenais & Associates Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Dagenais & Associates Medical Clinic, LLC was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.