MERRY MATHEW THENMADATHIL PA NPI 1548327653

NPI Information

  • NPI: 1548327653
  • Provider Name: MERRY MATHEW THENMADATHIL, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 9900 BROADWAY EXT STE 200
    OKLAHOMA CITY, OK
    ZIP 73114
  • Phone: (405) 608-8833

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NPI Details

Merry Mathew Thenmadathil, PA is a medical physician assistant in Oklahoma City, OK. Merry Mathew Thenmadathil, PA NPI is 1548327653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9900 BROADWAY EXT STE 200
OKLAHOMA CITY, OK
ZIP 73114-323
Phone: (405) 608-8833
Fax: (405) 608-8188

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical1857OKLAHOMAYes
2363AM0700XPhysician AssistantMedical011540NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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