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

Individual provider Physician Assistant · NPI 1578562328

Ralph Eugene Fountain, PA is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 1987, 39 years ago. Practices with McBride Clinic Orthopedic Hospital, LLC, a 100-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
39
Licensed in
OK
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone: (405) 230-9000
Fax: (405) 230-9157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1110 N Lee Ave, Oklahoma City, OK 73103-2612 — (405) 230-9000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA498 (OK)

Record details

NPI number1578562328
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESDecember 28, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice McBride Clinic Orthopedic Hospital, Llc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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