Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Irasema Gipson, PA-C

Individual provider Physician Assistant · NPI 1104056399

Irasema Gipson, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2009, 17 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group and accepts Medicare assignment. Licensed in Oklahoma and Texas.

Years since qualifying
17
Licensed in
OK, TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 NE 13th St # 1C
Oklahoma City, OK 73104-5040
Phone: (405) 271-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4842 (OK)
Physician Assistant Taxonomy 363A00000X · Licence PA06244 (TX)

Record details

NPI number1104056399
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 22, 2009
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Oliver Street 5.01(A) Inc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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