Marty Viefhaus, PA-C
Physician Assistant in Durant, OK. Individual provider (NPI-1).
NPI number1790762771
StatusActive
Last updated in NPPESDec 6, 2010
Details
- NPI
- 1790762771
- Entity type
- Individual (NPI-1)
- Name
- Marty Viefhaus
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2005
- Last updated
- Dec 6, 2010
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 | 951 | OK | Yes |
Practice location
1600 N Washington AveDurant, OK 74701-2128
Phone 580-920-2100 · Fax 580-924-7215
Mailing address
1001 N Country Club RdAda, OK 74820-2847
Phone 580-421-4570 · Fax 580-924-7215
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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 9 Physician Assistant providers in Durant · All 1,274 providers in Durant
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