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Deactivated NPI 1871558064 Deactivated / Inactive NPI Male Practitioner

Charles Donald Holmes , PA-C

Physician Assistant • Ardmore, 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, Charles Holmes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 19, 2006
NPI Deactivation Date May 13, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Charles Holmes, PA-C was a registered Physician Assistant practicing in Ardmore, OK. Throughout an active medical career spanning 15 years, Charles Holmes provided care at the practice location at 1001 15TH AVE NW until profile deactivation on 2021-05-13.

Practice Location & Contact Primary Location

Practice Address

1001 15th Ave Nw
Suite A

Ardmore, OK 734011810

Telephone 5802232123
Fax 5804909228
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ardmore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Ardmore, OK (1911 Statewide)

Telehealth Adoption Rate
14.3% 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 OK-PA 217

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

3 Associated Practitioners
Laura Johnson , LPN

Licensed Practical Nurse

NPI 1265497275

Licensed Practical Nurse

Judy Johnston , LPN

Licensed Practical Nurse

NPI 1497710487

Licensed Practical Nurse

NPI 1891353819

Master of Science

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 May 13, 2021

Record deactivated on May 13, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1001 15TH AVE NW, SUITE A, ARDMORE, OK 734011810 (Tel: 5802232123)

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Updated Business Mailing Address July 08, 2007

Registered at 255 BEAVER ACADEMY RD, ARDMORE, OK 734017516 (Tel: 5802260906)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES HOLMES, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #OK-PA 217 in OK)

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Initial NPI Registration & Enumeration April 19, 2006

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: 1871558064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2006
Last Update: July 08, 2007
Deactivation Date: May 13, 2021

Mailing Address

255 Beaver Academy Rd

Ardmore, OK 734017516

Phone: 5802260906

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.