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

This page provides the complete NPI Profile along with additional information for Windsor Park Medical Clinic, 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 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with 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 .

Location Map

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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104070259, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 7 + 0 + 2 + 1 + 0 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104070259.

Other Providers at the Same Location


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

Physician Assistant (Medical)
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
Physician Assistant
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
Nurse Practitioner (Family)
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
Family Medicine
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107
Family Medicine
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104070259, enumerated 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.

Physician Assistant with taxonomy code 363A00000X.