Organization · Type 2 NPI

Ortho Stat LLC

Physician Assistant · Moore, OK

NPI number 1093620197 Active

Practice location

400 N Eastern Ave
Moore, OK 73160-5833

Fax (405) 349-4017

Mailing address

PO Box 892410
Oklahoma City, OK 73189-2410

Other practice locations

  • 6601 W Hefner Rd, Oklahoma City, OK 73162-4704 · (405) 237-3326

Specialties and licenses

TaxonomyCodeLicense
Urgent Care Clinic/Center 261QU0200XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

26 other providers at this address

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About NPI 1093620197

Ortho Stat LLC's National Provider Identifier is 1093620197, issued on Aug 14, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Moore, OK. The record was last updated on Oct 16, 2026.