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NPI 1104131721ActiveOrganization· Physician Assistant, Surgical· Oklahoma City, OK

Physician Assistant, Surgical in Oklahoma City, Oklahoma, registered in NPPES in August 2010. The authorized official on file is Greg W. Dinwiddie, PHYSICIAN ASSISTANT, President.

Overview

NPI1104131721
StatusActive
Entity typeOrganization
NPI issuedAug 9, 2010
Last updated in NPPESNov 12, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400X1037OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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