Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ORTHO STAT LLC
NPI 1093620197
Physician Assistant in Moore, OK

Q: What is Ortho Stat LLC's NPI number?

The NPI number for Ortho Stat LLC is 1093620197. It was assigned to this organization in the NPPES registry on August 14, 2026.

Q: What is Ortho Stat LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ortho Stat LLC was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since August 14, 2026

400 N EASTERN AVE, MOORE, OK 73160(405) 237-3326(405) 349-4017 Get Directions Write a Review

NPPES record added: October 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 16, 2026, Aug 14, 2026 (2 updates tracked since 2026).

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About Ortho Stat Llc NPPES

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

ORTHO STAT LLC (NPI 1093620197) is a healthcare organization registered as a physician assistant in Moore, Oklahoma and active in the NPI registry since August 2026. The organization maintains a secondary practice location in Oklahoma City and lists Lesley Henthorn, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1093620197

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameORTHO STAT LLC

Location Address400 N EASTERN AVEMoore, OK 73160-5833

Mailing AddressPo Box 892410Oklahoma City, OK 73189-2410 · (405) 237-3326 · Fax (405) 349-4017

Phone(405) 237-3326

Fax(405) 349-4017

Organization SubpartNo

Authorized OfficialLesley HenthornCredentialing · (405) 237-3770

Enumeration DateAugust 14, 2026

Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ NPI 1093620197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

400 N EASTERN AVE, Moore, OK 73160

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Secondary Practice Location 1

Location 16601 W Hefner RdOklahoma City, OK 73162-4704 · Phone (405) 237-3326 · Fax (405) 349-4017

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALEY HARRISON STRUTTON DNP, APRN, FNP-C

Nurse Practitioner (Family)