Oklahoma Advanced Diabetes Care PLLC
NPI 1053296129ActiveOrganization· Physician Assistant· Norman, OK
Physician Assistant in Norman, Oklahoma, registered in NPPES in August 2025. The authorized official on file is Stephanie Porter, PA-C, Owner/Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053296129 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2025 |
| Last updated in NPPES | Aug 21, 2025 |
| Certified by provider | Aug 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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