CRYSTAL A MAHANA (NPI# 1356811558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356811558 |
| Entity Type | Individual |
| Full Name | CRYSTAL A MAHANA |
| Credential | PA-C |
| Practice Address |
3300 Nw Expwy Oklahoma City OK 73112-4418 |
| Mailing Address |
2732 Nw 155th St Edmond OK 73013-8812 |
| Practice Telephone | 4059493011 |
| Mailing Telephone | 4094348257 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2955 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3300 NW EXPWY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790853067 | Julie Denise Watson | Pediatrics | 3300 Nw Expwy, 4th Floor Nicu, Oklahoma City, OK 73112-4418 | 2006-12-02 |
| 1558983387 | Anna S Kim | Anesthesiologist Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-05-14 |
| 1073134144 | Parker Thomas Richardson | Anesthesiologist Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-04-30 |
| 1871112409 | John Robert Sheets | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4999 | 2020-04-14 |
| 1902434020 | Aakash Jivan | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-04-01 |
| 1891322855 | Jaxson Tucker Thomas | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-03-26 |
| 1336776392 | Adam K Judd | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-03-26 |
| 1164984332 | Dustin Coleman | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4999 | 2019-04-04 |
| 1053804112 | Taylor Brooke Herzer | Physician Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4999 | 2018-06-12 |
| 1396242343 | Matthew Richard Edwards | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2018-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 | 73112 |
Please comment or provide details below to improve the information on CRYSTAL A MAHANA.
| 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.