Windsor Park Medical Clinic
NPI 1104070259ActiveOrganization· Physician Assistant· Oklahoma City, OK
Physician Assistant in Oklahoma City, Oklahoma, registered in NPPES in November 2008. The authorized official on file is Stacy Louise Fagan, P.A.C., Physician Assistant.
Overview
| NPI | 1104070259 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2008 |
| Last updated in NPPES | Nov 14, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1779 | OK |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant providers in Oklahoma City
- 1902469869
- 1821569740
- 1578159729
- 1063976223
- 1750674172
- 1881621241
- 1588963953
- 1851005508
- 1083536411
- 1548821937
- 1215405055
- 1609590645