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Active NPI 1962682104 Individual Practitioner Female Practitioner

Tara Miranda Lewis , PA-C

Physician Assistant • Ardmore, OK

Professional Overview & Biography Verified Profile Summary

Tara Lewis, PA-C is a registered healthcare professional specializing in Physician Assistant in Ardmore, OK. Practice services are available at 2510 CHICKASAW BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2510 Chickasaw Blvd

Ardmore, OK 734011341

Telephone 5802268181
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
75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
65 43 $260.00 $76.32
99213 Established patient office or other outpatient visit, typically 15 minutes
54 43 $260.00 $51.31

Medical Specialties & State Licenses

CMS Verified: 2024-07-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1659

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

24 Associated Practitioners
Jeni Presley , LPC

Counselor - Mental Health

NPI 1003279746

Licensed Professional Counselor

NPI 1053516781

Doctor of Dental Surgery

Rita Roberts

Pharmacy Technician

NPI 1104997717
Loree Dresser

Pharmacy Technician

NPI 1154401735
Lisa Davis , APRN, FNP-C

Nurse Practitioner - Family

NPI 1154883353

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Kelly Herrod

Pharmacy Technician

NPI 1184705469

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location July 10, 2024

Registered at 2510 CHICKASAW BLVD, ARDMORE, OK 734011341 (Tel: 5802268181)

📍
Updated Business Mailing Address July 10, 2024

Registered at 1925 WARRIOR WAY, ADA, OK 748203491 (Tel: 5804214570)

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2017

Registered at 108 S 5TH ST, RINGLING, OK 734566124 (Tel: 5806622316)

📍
Updated Business Mailing Address April 03, 2017

Registered at PO BOX 96, RINGLING, OK 734560096 (Tel: 5806622316)

👤
Provider Name / Credentials Updated April 03, 2017

Recorded as TARA LEWIS, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Physician Assistant (License #1659 in OK)

NPI Profile Active July 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2014

Registered at 3472 HOSPITAL RD, HEALDTON, OK 734386124 (Tel: 5802290079)

📍
Updated Business Mailing Address July 11, 2014

Registered at 3472 HOSPITAL RD, HEALDTON, OK 734386124 (Tel: 5802290079)

👤
Provider Name / Credentials Updated July 11, 2014

Recorded as TARA LEWIS, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2014

Physician Assistant (License #1659 in OK)

🟢
Initial NPI Registration & Enumeration November 05, 2007

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: 1962682104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2007
Last Update: July 10, 2024
Sole Proprietor: No

Mailing Address

1925 Warrior Way

Ada, OK 748203491

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.