MS. LAURA DIANE PETRASH (NPI# 1891992996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891992996 |
| Entity Type | Individual |
| Full Name | MS. LAURA DIANE PETRASH |
| Credential | PA-C |
| Practice Address |
1616 S Kelly Ave Edmond OK 73013-3651 |
| Mailing Address |
14024 Quail Pointe Dr Oklahoma City OK 73134-1006 |
| Practice Telephone | 4053300015 |
| Practice Fax Number | 4053408804 |
| Mailing Telephone | 4054198447 |
| Mailing Fax Number | 4054197745 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2015-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1650 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1616 S KELLY AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665347 | Donald E Adams | Physical Medicine & Rehabilitation | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-01-31 |
| 1336683515 | Madison Williams | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2016-12-07 |
| 1932515475 | Jeffrey Moore | Orthopaedic Surgery | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2014-07-04 |
| 1740694611 | Jenna Lynn Crowder | Family Medicine | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2014-06-18 |
| 1083952485 | Whitney T Mashburn | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2013-01-21 |
| 1205152600 | Hpi Physicians LLC | Internal Medicine | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2010-04-12 |
| 1528097904 | Hillary Seth Lawrence | Dermatology | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-06-30 |
| 1033179106 | Amanda Lynn Bruschi | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-03-24 |
| 1578539029 | Rupert Rockwell Thomas Sr. | Obstetrics & Gynecology | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-02-24 |
| 1831164458 | Manuel Carl Limbaugh | Family Medicine | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| 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 |
|---|---|---|---|---|
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1679132823 | Amy Nguyen | Physician Assistant | 3800 Four Winns Strait, Edmond, OK 73013-8742 | 2019-06-11 |
| 1295393965 | Emily Maria Carro | Physician Assistant | 716 Fox Bend Trl, Edmond, OK 73034-7355 | 2019-05-29 |
| 1679041800 | Global Health Assists, LLC | Physician Assistant | 2011 W Danforth Rd # 222, Edmond, OK 73003-4685 | 2018-11-06 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1124521851 | Roeza Pllc | Physician Assistant | 15100 Traditions Blvd Ste 2, Edmond, OK 73013-1183 | 2018-03-08 |
| 1285141028 | Jordan B. Matli | Physician Assistant | 18505 Auburn Meadows Dr, Edmond, OK 73012-0612 | 2018-01-02 |
| 1972016756 | Precision Surgical Care, Pllc | Physician Assistant | 1050 E 2nd St #296, Edmond, OK 73034-5313 | 2017-11-15 |
| 1518498906 | Charles Michael Braden | Physician Assistant | 3108 Jamin Paul Circle, Edmond, OK 73013-8025 | 2017-03-27 |
| 1932578762 | Discovery Wellness LLC | Physician Assistant | 17625 Lead Ln, Edmond, OK 73012-6959 | 2015-09-23 |
| Find all providers in EDMOND | ||||
Please comment or provide details below to improve the information on MS. LAURA DIANE PETRASH.
| 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.