Individual provider · Type 1 NPI

Addison Roark, PA

Physician Assistant · Tulsa, OK

NPI number 1225834922 Active

Practice location

12902 E 51st St Ste 3
Tulsa, OK 74134-6712

Mailing address

4209 N Redbud Pl
Broken Arrow, OK 74012-0453

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5471 (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 1225834922

Addison Roark, PA's National Provider Identifier is 1225834922, issued on Feb 22, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tulsa, OK. The record was last updated on Feb 22, 2025.