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Deactivated NPI 1164408928 Deactivated / Inactive NPI Male Practitioner

Clint Forrest , PA-C

Physician Assistant • Ada, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Clint Forrest has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 22, 2005
NPI Deactivation Date August 09, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Clint Forrest, PA-C was a registered Physician Assistant practicing in Ada, OK. Throughout an active medical career spanning 18 years, Clint Forrest provided care at the practice location at 1001 N COUNTRY CLUB RD until profile deactivation on 2023-08-09.

Practice Location & Contact Primary Location

Practice Address

1001 N Country Club Rd

Ada, OK 748202847

Telephone 5804214570
Fax 5804216283
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ada, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Ada, OK (1911 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK PA975

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003170887

Doctor of Dental Surgery

Dr. Lucretia Barker , MD

Obstetrics & Gynecology

NPI 1003817172

Doctor of Medicine (M.D.)

Tanya Hatter

Pharmacy Technician

NPI 1013088616
Dr. Olivia Reed , DO

Emergency Medicine

NPI 1013380021

Doctor of Osteopathic Medicine (D.O.)

Billy Jack

Counselor - Addiction (Substance Use Disorder)

NPI 1013930593
Clay Warren

Physical Medicine & Rehabilitation

NPI 1023198165

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 09, 2023

Record deactivated on August 09, 2023

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1001 N COUNTRY CLUB RD, ADA, OK 748202847 (Tel: 5804214570)

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Updated Business Mailing Address July 09, 2007

Registered at 1001 N COUNTRY CLUB RD, ADA, OK 748202847 (Tel: 5804214570)

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Provider Name / Credentials Updated July 09, 2007

Recorded as CLINT FORREST, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #PA975 in OK)

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Initial NPI Registration & Enumeration December 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164408928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2005
Last Update: July 09, 2007
Deactivation Date: August 09, 2023

Mailing Address

1001 N Country Club Rd

Ada, OK 748202847

Phone: 5804214570

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.