Provider Demographics
NPI:1518602705
Name:SCHEIB, HUNTER A (PA)
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:A
Last Name:SCHEIB
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2434 E QUIVIRA CT
Mailing Address - Street 2:
Mailing Address - City:KECHI
Mailing Address - State:KS
Mailing Address - Zip Code:67067-8909
Mailing Address - Country:US
Mailing Address - Phone:620-794-4401
Mailing Address - Fax:
Practice Address - Street 1:1145 S UTICA AVE STE 202
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4022
Practice Address - Country:US
Practice Address - Phone:918-579-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OKPA4915363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program