Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN JIMENEZ PA-C
NPI 1174354013
Physician Assistant in Fort Sill, OK

Active since August 12, 2024
4301 WILSON ST, FORT SILL, OK 73503(305) 219-1872 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Aug 12, 2024 (2 updates tracked since 2024).

About Justin Jimenez Pa-c NPPES

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

JUSTIN JIMENEZ PA-C (NPI 1174354013) is an individual physician assistant in Fort Sill, Oklahoma and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1174354013
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN JIMENEZCredential: PA-C
Location Address4301 WILSON STFort Sill, OK 73503-4472
Mailing Address4301 Wilson StLawton, OK 73503-4472 · (305) 219-1872
Sole ProprietorNo
Enumeration DateAugust 12, 2024
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
NPI 1174354013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4301 WILSON ST, Fort Sill, OK 73503

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.

Physical Therapist
4301 WILSON ST
FORT SILL, OK 73503
Dentist (Oral and Maxillofacial Surgery)
4301 WILSON ST
FORT SILL, OK 73503
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4301 WILSON ST, REYNOLDS ARMY HEALTH CLINIC COMMAND SUITE - DCCS
FORT SILL, OK 73503
Counselor (Professional)
4301 WILSON ST
FORT SILL, OK 73503
Dentist (General Practice)
4301 WILSON ST
FORT SILL, OK 73503
Occupational Therapist
4301 WILSON ST
FORT SILL, OK 73503
Dermatology
4301 WILSON ST
FORT SILL, OK 73503
Pharmacist
4301 WILSON ST
FORT SILL, OK 73503

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 Justin Jimenez's NPI number?

The NPI number for Justin Jimenez is 1174354013. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Justin Jimenez located?

Justin Jimenez practices at 4301 Wilson St, Fort Sill, OK 73503. The listed phone number is (305) 219-1872.

What is Justin Jimenez's specialty?

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

When was this NPI record last updated?

The NPPES record for Justin Jimenez was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.