Individual provider · Type 1 NPI

Madeline Derting

Physician Assistant · Oklahoma City, OK

NPI number 1124846480 Active

Practice location

700 NE 10th St
Oklahoma City, OK 73104-5404

Mailing address

910 W Hill St
Oklahoma City, OK 73118-7257

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5638 (OK)

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…

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About NPI 1124846480

Madeline Derting's National Provider Identifier is 1124846480, issued on Sep 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 28, 2025.