Ortho Stat LLC
NPI 1093620197ActiveOrganization· Physician Assistant· Moore, OK
Physician Assistant in Moore, Oklahoma, registered in NPPES in August 2026. The authorized official on file is Lesley Henthorn, CREDENTIALING, Credentialing.
Overview
| NPI | 1093620197 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2026 |
| Last updated in NPPES | Oct 16, 2026 |
| Certified by provider | Oct 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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