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

Ruth Johnson, PA

Individual provider Medical Physician Assistant · NPI 1699865162

Ruth Johnson, PA is a Physician Assistant in Mannford, Oklahoma. Qualified in 1999, 27 years ago. Practices with Omni Medical Group Inc, a 82-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
27
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

500 Cimarron Dr Box 323
Mannford, OK 74044-9504
Phone: (918) 865-5000
Fax: (918) 865-5050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-1777 (OK)

Record details

NPI number1699865162
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESMarch 5, 2009
Mailing address500 Cimarron Dr, Box 323, Mannford, OK 74044-9504

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Omni Medical Group Inc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare