NPI 1609590645 · live from the CMS NPI Registry
Jared Remmington Ainsworth, PA-C
Physician Assistant in Oklahoma City, OK. National Provider Identifier 1609590645, active.
NPI record
| NPI | 1609590645 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2130 Sw 59th St, Oklahoma City, OK 73119 |
| Practice phone | 403-303-7555 |
| Mailing address | Po Box 740020, Atlanta, GA 30374 |
| Enumerated | October 3, 2022 |
| Last updated | September 22, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Physician Assistant primary | 363A00000X | 4881 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.