NISHA PANTA (NPI# 1093290132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093290132 |
| Entity Type | Individual |
| Full Name | NISHA PANTA |
| Credential | PA-C |
| Practice Address |
4120 W Memorial Rd # 300 Oklahoma City OK 73120-9322 |
| Mailing Address |
4120 W Memorial Rd Suite 300 Oklahoma City OK 73120-9322 |
| Practice Telephone | 4057483300 |
| Practice Fax Number | 4057491671 |
| Mailing Telephone | 4057483300 |
| Mailing Fax Number | 4057491671 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2945 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4120 W MEMORIAL RD # 300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-9322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104216662 | Morgan Hanni | Physician Assistant | 3520 Nw 20th St, Oklahoma City, OK 73107-2818 | 2015-02-04 |
| 1518204056 | Dustin William Tims | Physician Assistant | 11317 S Western Ave Ste 300, Oklahoma City, OK 73170-5848 | 2013-01-03 |
| 1710282660 | Amir Raza | Physician Assistant | 925 Ne 13th Street, Cho 2mr2000d, Oklahoma City, OK 73104-5068 | 2011-01-24 |
| 1104131721 | Central Pa | Physician Assistant | 10701 Pond Meadow Dr, Oklahoma City, OK 73151-9149 | 2010-08-09 |
| 1508855677 | Mark Daniel Johnson | Physician Assistant | 13401 N Western Ave Ste 301, Oklahoma City, OK 73114-1411 | 2005-10-20 |
| 1306840327 | Kendall Leigh Phillips | Physician Assistant | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-06-08 |
| 1649642919 | Eric Ramos | Physician Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2015-10-27 |
| 1649664392 | Kayla Michelle Hale | Physician Assistant | 13904 Quailbrook Dr, Oklahoma City, OK 73134-1718 | 2015-03-20 |
| 1972992485 | Nathan James Charlton | Physician Assistant | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2015-01-21 |
| 1902294812 | Lauren Zahra Hink | Physician Assistant | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 | 2014-12-30 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on NISHA PANTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.