Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Michael Klose, PA-C

Individual provider Physician Assistant · NPI 1053717975

Michael Klose, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2015, 11 years ago. Works from 2 locations and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2014
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

921 NE 13th St
Oklahoma City, OK 73104-5007
Phone: (405) 456-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1777 Garth Brooks Blvd, Yukon, OK 73099-6388 — (405) 456-2645

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1053717975
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2014
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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