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

Tara Miranda Lewis, PA-C

Individual provider Physician Assistant · NPI 1962682104

Tara Miranda Lewis, PA-C is a Physician Assistant in Ardmore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
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

2510 Chickasaw Blvd
Ardmore, OK 73401-1341
Phone: (580) 226-8181
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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 1659 (OK)

Record details

NPI number1962682104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2007
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

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