=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578420592
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MAC JAMES DUMSKY AA
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2026
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3300 NW EXPRESSWAY
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73112-4418
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-944-9301
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2054
-----------------------------------------------------
City | LOWELL
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72745-2054
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-297-4424
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367H00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiologist Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------