Ortho Stat LLC
Physician Assistant in Moore, OK. Organization (NPI-2).
Details
- NPI
- 1093620197
- Entity type
- Organization (NPI-2)
- Legal business name
- Ortho Stat LLC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2026
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Other names
- Just Orthopedics Express (Doing Business As)
Practice location
400 N Eastern AveMoore, OK 73160-5833
Phone 405-237-3326 · Fax 405-349-4017
Mailing address
Po Box 892410Oklahoma City, OK 73189-2410
Phone 405-237-3326 · Fax 405-349-4017
Other practice locations
Oklahoma City, OK 73162-4704
Phone 405-237-3326 · Fax 405-349-4017
Authorized official
Lesley Henthorn
Credentialing
4052373770
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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