MRS. KELLY HACKER (NPI# 1104090208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104090208 |
| Entity Type | Individual |
| Full Name | MRS. KELLY HACKER |
| Credential | PA-C |
| Practice Address |
750 Ne 13th St Ste 200 Oklahoma City OK 73104-5051 |
| Mailing Address |
750 Ne 13th St Ste 200 P.o. Box 53188 Oklahoma City OK 73104-5051 |
| Practice Telephone | 4056271435 |
| Practice Fax Number | 4056271869 |
| Mailing Telephone | 4056271435 |
| Mailing Fax Number | 4056271869 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1373 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
750 NE 13TH ST STE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861422628 | Randall M Schwartz | Pediatrics | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2006-07-04 |
| 1093379539 | Aaron Paul | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2019-04-30 |
| 1255865366 | Trung Quoc Pham | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2017-04-14 |
| 1558717553 | Brandon Valantine | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2016-05-09 |
| 1821442203 | Sarah Caroline Parrish | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2016-04-21 |
| 1912351123 | Matthew Moore | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2016-04-14 |
| 1225431141 | Jennifer Schmitt | Nurse Anesthetist, Certified Registered | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2014-10-06 |
| 1780006817 | Stephanie Maria Roberson | Nurse Anesthetist, Certified Registered | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2014-01-08 |
| 1437319639 | Scott L Mcelmeel | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5051 | 2008-06-11 |
| 1851551063 | Christa Nicole Rylant | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5051 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1336786557 | Chad Tiaden | Physician Assistant | 940 Ne 13th St Ste 2300, Oklahoma City, OK 73104-5008 | 2019-12-06 |
| 1588209837 | Kathryn Lynn Lane | Physician Assistant | 737 Sw 157th St, Oklahoma City, OK 73170-7688 | 2019-11-11 |
| 1760025845 | Robert Eugene Curling | Physician Assistant | 3435 Nw 56th St Ste 909, Oklahoma City, OK 73112-4400 | 2019-10-22 |
| 1740831486 | Aliina Ann O'toole | Physician Assistant | 1200 Childrens Ave Ste 8305, Oklahoma City, OK 73104-4637 | 2019-09-24 |
| 1093375271 | Alison Suezan Barton | Physician Assistant | 13401 N Western Ave Ste 210, Oklahoma City, OK 73114-1410 | 2019-06-19 |
| 1376100750 | Katelyn Taylor Bant | Physician Assistant | 6001 S Sooner Rd, Ste A, Oklahoma City, OK 73135-5601 | 2019-05-21 |
| 1538726997 | Mariah Paige Melton | Physician Assistant | 4400 Hemingway Dr Apt 251, Oklahoma City, OK 73118-2241 | 2019-05-21 |
| 1336703123 | Soni Simer | Physician Assistant | 11601 Kingswick Dr, Oklahoma City, OK 73162-2918 | 2019-04-26 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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| 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.