Provider Demographics
NPI:1447425046
Name:BIGGS, ASHLEY DAWN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:DAWN
Last Name:BIGGS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 S YALE AVE
Mailing Address - Street 2:SUITE 503
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8327
Mailing Address - Country:US
Mailing Address - Phone:918-494-8333
Mailing Address - Fax:918-494-8334
Practice Address - Street 1:6565 S YALE AVE
Practice Address - Street 2:SUITE 503
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8327
Practice Address - Country:US
Practice Address - Phone:918-494-8333
Practice Address - Fax:918-494-8334
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601005212363A00000X
OK1914363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIM74520006Medicare PIN