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

Mr. Benny Ross Wofford, PA

Individual provider Physician Assistant · NPI 1104871995

Mr. Benny Ross Wofford, PA is a Physician Assistant in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1921 Stonecipher Blvd
Ada, OK 74820-3439
Phone: (580) 436-3980
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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 1031 (OK)

Record details

NPI number1104871995
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

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