WINDSOR PARK MEDICAL CLINIC
NPI 1104070259
Physician Assistant in Oklahoma City, OK

NPI Status: Active since November 14, 2008

Contact Information

2512 N MERIDIAN AVE
OKLAHOMA CITY, OK
ZIP 73107
Phone: (405) 605-5415
Fax: (405) 605-5310

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  • Organization
  • Physician Assistant

About WINDSOR PARK MEDICAL CLINIC

Windsor Park Medical Clinic is a primary care provider established in Oklahoma City, Oklahoma operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1104070259 assigned on November 2008. The practitioner's primary taxonomy code is 363A00000X with license number 1779 (OK). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Stacy Louise Fagan P.a.c. (Physician Assistant)

NPI
1104070259
Provider Name
WINDSOR PARK MEDICAL CLINIC
Entity Type
Organization
Location Address
2512 N MERIDIAN AVE OKLAHOMA CITY, OK 73107
Location Phone
(405) 605-5415
Location Fax
(405) 605-5310
Mailing Address
2512 N MERIDIAN AVE OKLAHOMA CITY, OK 73107
Mailing Phone
(405) 605-5415
Mailing Fax
(405) 605-5310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2008
Last Update Date
11-14-2008
Code Navigator

A primary care provider (PCP) like Windsor Park Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1779
License State
OK
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACY LOUISE FAGAN P.A.C.

Authorized Official Title
PHYSICIAN ASSISTANT
Authorized Official Phone
(405) 605-5415

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104070259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104070210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 7 + 0 + 2 + 1 + 0 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1104070259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841444098MS. STACY LOUISE FAGAN P.A.
Individual
Physician Assistant (Medical)2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
(405) 605-5415
1952649204 JILL WHITNEY FROST PA-C
Individual
Physician Assistant2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
(405) 605-5415
1073172607MR. KEHDINGA NUKUNA
Individual
Nurse Practitioner (Family)2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
(405) 605-5415
1699823617WINDSOR PARK MEDICAL CLINIC, LLC
Organization
Family Medicine2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
(405) 605-5415
1184640112WINDSOR PARK MEDICAL CLINIC
Organization
Family Medicine2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
(405) 605-5415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104070259, enumerated in the NPI registry as an "organization" on November 14, 2008

The provider is located at 2512 N Meridian Ave Oklahoma City, Ok 73107 and the phone number is (405) 605-5415

This medical organization specializes in Physician Assistant with taxonomy code 363A00000X

This NPI record was last updated on November 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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