Jon Mark Lauderdale , PA-C
Physician Assistant • Owasso, OK
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, Jon Lauderdale has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jon Lauderdale, PA-C was a registered Physician Assistant practicing in Owasso, OK. Throughout an active medical career spanning 16 years, Jon Lauderdale provided care at the practice location at 13616 E 103RD ST N until profile deactivation on 2023-02-08.
Practice Location & Contact Primary Location
13616 E 103rd St N
Ste A
Owasso, OK 740554586
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Owasso, OK
Practicing in Owasso, OK (1911 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
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
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant - Medical
Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 08, 2023
NPI status registered as active in NPPES database
Registered at 13616 E 103RD ST N, STE A, OWASSO, OK 740554586 (Tel: 9182748555)
Registered at 13616 E 103RD ST N, STE A, OWASSO, OK 740554586 (Tel: 9182748555)
Recorded as JON LAUDERDALE, PA-C
Physician Assistant (License #PA-3470 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
13616 E 103rd St N, Ste A
Owasso, OK 740554586
Phone: 9182748555
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