Amanda Kay Oxford, P.A.
Physician Assistant in Tahlequah, OK. Individual provider (NPI-1).
NPI number1104001502
StatusActive
Last updated in NPPESOct 25, 2016
Details
- NPI
- 1104001502
- Entity type
- Individual (NPI-1)
- Name
- Amanda Kay Oxford
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2008
- Last updated
- Oct 25, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 | 1673 | OK | Yes |
Practice location
100 S Bliss AveTahlequah, OK 74464-2512
Phone 918-458-3100 · Fax 918-458-3595
Mailing address
100 S Bliss AveTahlequah, OK 74464-2512
Phone 918-458-3100 · Fax 918-458-3595
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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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All 17 Physician Assistant providers in Tahlequah · All 1,444 providers in Tahlequah
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