Healthcare Provider Details

I. General information

NPI: 1275660490
Provider Name (Legal Business Name): FRANSEN ORDELHEIDE MCGINLEY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANSEN ORDELHEIDE PA

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NE 10TH ST OUPB 5200
OKLAHOMA CITY OK
73104-5417
US

IV. Provider business mailing address

1122 NE 13TH ST ORI 236
OKLAHOMA CITY OK
73117-1039
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-8299
  • Fax:
Mailing address:
  • Phone: 405-271-8299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1580
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: