MEDICARE: MR. DAVID L FLEMING PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA60673	CA
2	363A00000X	Physician Assistant	PA2137	NV
3	363A00000X	Physician Assistant	PA.0005734	CO
4	363AM0700X	Medical Physician Assistant	5234	OK
5	363A00000X	Physician Assistant	14228500-1206	UT

General Provider Information

NPI Number	:	1710444351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID L FLEMING PA-C

Provider Business Mailing Address
First Line	:	820 W DANFORTH RD STE 1089
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73003-5006
Country	:	US
Telephone Number	:	702-473-0304
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 W DANFORTH RD STE 1089
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73003-5006
Country	:	US
Telephone Number	:	702-473-0304
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2019
Last Update Date	:	02/17/2026

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