Provider Demographics
NPI:1932189248
Name:MCDOWELL, MARGARET (PA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:F
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:PO BOX 25277
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66225-5277
Mailing Address - Country:US
Mailing Address - Phone:918-307-6920
Mailing Address - Fax:918-307-6951
Practice Address - Street 1:10501 E 91ST ST
Practice Address - Street 2:EMERGENCY DEPT
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5790
Practice Address - Country:US
Practice Address - Phone:918-307-6920
Practice Address - Fax:918-307-6951
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK553363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100138690BMedicaid
OKP00314928OtherMEDICARE RAILROAD
OK243530101Medicare PIN
OKP00314928OtherMEDICARE RAILROAD