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DISCOVERY WELLNESS LLC
NPI 1932578762
Physician Assistant in Edmond, OK

Active since September 23, 2015
17625 LEAD LN, EDMOND, OK 73012(405) 210-1662 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Feb 24, 2016 (2 updates tracked since 2016).

About Discovery Wellness Llc NPPES

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

DISCOVERY WELLNESS LLC (NPI 1932578762) is a healthcare organization registered as a physician assistant in Edmond, Oklahoma and active in the NPI registry since September 2015. The organization lists Andrew Blakeman, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1932578762
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameDISCOVERY WELLNESS LLC
Location Address17625 LEAD LNEdmond, OK 73012-6959
Mailing Address17625 Lead LnEdmond, OK 73012-6959 · (405) 210-1662
Phone(405) 210-1662
Organization SubpartNo
Authorized OfficialAndrew BlakemanOperations Manager · (405) 210-1662
Enumeration DateSeptember 23, 2015
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1932578762 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.
17625 LEAD LN, Edmond, OK 73012
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Other Identifiers 2

Medicaid200294910AOK
Other78861OK · Oklahoma Nursing Liscense

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 Discovery Wellness LLC's NPI number?

The NPI number for Discovery Wellness LLC is 1932578762. It was assigned to this organization in the NPPES registry on September 23, 2015.

Where is Discovery Wellness LLC located?

Discovery Wellness LLC is located at 17625 Lead Ln, Edmond, OK 73012. The listed phone number is (405) 210-1662.

What is Discovery Wellness LLC'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 Discovery Wellness LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.