Physician Assistant, Surgical
CENTRAL PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1104131721 · enumerated 2010-08-09 · record updated 2010-11-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: GREG DINWIDDIE physician assistant, President · (405) 771-4151
Addresses and phones
- Mailing address 10701 POND MEADOW DR, OKLAHOMA CITY, OK, 73151-9149 (405) 771-4151 Google Maps Apple Maps OpenStreetMap
- Practice location 10701 POND MEADOW DR, OKLAHOMA CITY, OK, 73151-9149 (405) 771-4151 Fax (405) 771-4151 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License 1037 OK
In this directory
OK Oklahoma County Oklahoma City Physician Assistant, Surgical
Locations and evidence
-
Practice location
OKLAHOMA CITY, OK, 731519149
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.