KATELYN ANN PURYEAR


Address: 1000 N Lee Ave, Oklahoma City, OK 73102-1036
Phone: 4052727000

KATELYN ANN PURYEAR (NPI# 1912516394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912516394
Entity Type Individual
Full Name KATELYN ANN PURYEAR
Credential PA-C
Practice Address 1000 N Lee Ave
Oklahoma City
OK 73102-1036
Mailing Address 9217 Nw 75th St
Yukon
OK 73099-9664
Practice Telephone 4052727000
Mailing Telephone 4056406096
Enumeration Date 2020-07-30
Last Update Date 2020-08-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
3217 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1000 N LEE AVE
City OKLAHOMA CITY
State OK
Zip Code 73102-1036

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083619902 Kevin Jay Mckeown Anesthesiology 1000 N Lee Ave, Oklahoma City, OK 73102 2005-06-16
1518575406 Julian Mahan Lowell Nurse Practitioner 1000 N Lee Ave, Oklahoma City, OK 73102-1036 2020-07-16
1730702895 Michelle Mcnamara Physician Assistant 1000 N Lee Ave, Oklahoma City, OK 73102-1036 2020-05-24
1992345672 Heather Dawn Smith-kenney Dietitian, Registered 1000 N Lee Ave, Oklahoma City, OK 73102-1036 2020-01-10
1265084693 Laney T Combs Nurse Practitioner 1000 N Lee Ave, Oklahoma City, OK 73102-1036 2019-07-16
1396307328 Physician Management Services of Oklahoma II, LLC Family Medicine 1000 N Lee Ave, Oklahoma City, OK 73102-1036 2019-06-29
1770140014 Deepika Mohan Pharmacist 1000 N Lee Ave, Oklahoma City, OK 73102-1036 2019-05-22
1477029452 Donna Sue Drew Registered Nurse 1000 N Lee Ave, Oklahoma City, OK 73102-1036 2018-10-17
1497221626 Mackenzie Borden Nurse Practitioner 1000 N Lee Ave, Oklahoma City, OK 73102-1036 2018-10-15
1730667296 Hospitalist Medicine Physicians of Oklahoma-tcg, LLC Internal Medicine 1000 N Lee Ave, Oklahoma City, OK 73102-1036 2018-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548895931 Court Assistance Programs Inc. Counselor 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 2020-03-06
1013434117 Mark Jeffrey Allison I Case Manager/Care Coordinator 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 2017-08-29
1770009052 Christopher Minh Nguyen Clinical Neuropsychologist 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 2017-08-17
1700263928 Micaela Lupov Physician Assistant 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 2015-04-27
1639577885 La Fuente Prosthetics Prosthetic/Orthotic Supplier 229 N.w. 9th Street, Oklahoma City, OK 73102 2014-12-19
1518378603 Whitney Thorne Surgery 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 2014-05-12
1356680078 Dustin W Choate Counselor 101 Park Ave Ste 1300, Oklahoma City, OK 73102 2013-02-01
1174889778 Sailesh Arulkumar Anesthesiology 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 2012-04-09
1790092328 Stephanie Brill Counselor 415 Nw 5th Street, Oklahoma City, OK 73102 2010-09-02
1205157120 Mohammad Omar Ramadan Urology Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 2010-06-15
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982172029 William Landon Ross Physician Assistant 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 2018-11-07
1639646656 Jacob Allbritton Physician Assistant 10824 Admiral Dr, Oklahoma City, OK 73162-6843 2018-10-29
1073004768 Shelby Teel Physician Assistant 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 2018-05-29
1255871349 Michele Starr Physician Assistant 409 Nw 39th St, Oklahoma City, OK 73118-8415 2017-03-08
1972042141 Nathan Carl Kadavy Physician Assistant 440 N Portland Ave, Suite 1000, Oklahoma City, OK 73107-6110 2017-02-21
1487191946 Neilee Wood Physician Assistant 8121 Nw 119th St, Oklahoma City, OK 73162-1110 2017-01-23
1508316530 Shayniel Stears Physician Assistant 16201 Gossamer Way, Oklahoma City, OK 73165-1503 2016-10-13
1386016566 D'amber Nicole Chambers Physician Assistant 1918 Ne 23rd St, Oklahoma City, OK 73111-3328 2015-10-27
1700263928 Micaela Lupov Physician Assistant 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 2015-04-27
1710380001 Whitney Ward Physician Assistant 4120 W Memorial Rd Ste 300, Oklahoma City, OK 73120-9322 2014-10-01
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Competitor

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City OKLAHOMA CITY
Zip Code 73102

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Dataset Information

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.

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