| NPI | 1053479436 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-12-05 |
| Last Updated | 2021-11-22 |
| Mailing Address | 527 W 3rd St Konawa, OK 74849-1415 United States Phone: (580) 925-3286 | Fax: (580) 925-9149 📍 View Map |
| Primary Practice Address | 905 Colony Dr Ada, OK 74820-2329 United States Phone: (580) 436-5111 | Fax: (580) 436-1159 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 200008160A | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363AM0700X – Physician Assistant, Medical | OK | 1261 |
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About NPI 1053479436
Mika Strong PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053479436. The primary specialty listed is Physician Assistant, Medical. The provider is located in Ada, OK. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053479436?
NPI 1053479436 belongs to Mika Strong PA-C, a Physician Assistant, Medical in Ada, OK. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053479436 active?
The current status of NPI 1053479436 in the NPPES registry is Active. The record was last updated on 2021-11-22.
What specialty is NPI 1053479436?
NPI 1053479436 is classified under the taxonomy Physician Assistant, Medical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053479436?
You can verify NPI 1053479436 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053479436?
The primary practice address on file for NPI 1053479436 is 905 Colony Dr, Ada, OK 74820-2329. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053479436 issued?
NPI 1053479436 was first issued (enumerated) on 2006-12-05. The NPPES record was last updated on 2021-11-22.
Practice Location Map
Mika Strong is located at 905 Colony Dr, Ada, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mika Strong. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053479436. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant, Medical | 1261 | OK |