Provider Demographics
NPI:1922065382
Name:PIGGINS, PATRICIA ANN (PA)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:PIGGINS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:HAGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 22063
Mailing Address - Street 2:DEPT 0289
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74121-2063
Mailing Address - Country:US
Mailing Address - Phone:405-751-4664
Mailing Address - Fax:405-749-4561
Practice Address - Street 1:6585 S YALE AVE
Practice Address - Street 2:PULMONARY MEDICINE ASSOCIATES, INC SUITE 1200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8384
Practice Address - Country:US
Practice Address - Phone:918-494-9288
Practice Address - Fax:918-494-9289
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK907363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100062450AMedicaid
OKP24051Medicare UPIN
OK100062450AMedicaid
OK970018307Medicare PIN
OK24H619030Medicare PIN
OKPA00907Medicare PIN
OK24H620536Medicare PIN