Provider Demographics
NPI:1710444351
Name:FLEMING, DAVID L (PA-C)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:FLEMING
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14400 BOGERT PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2653
Mailing Address - Country:US
Mailing Address - Phone:405-302-1500
Mailing Address - Fax:405-752-6598
Practice Address - Street 1:14400 BOGERT PKWY STE 100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-2653
Practice Address - Country:US
Practice Address - Phone:405-302-1500
Practice Address - Fax:405-752-6598
Is Sole Proprietor?:No
Enumeration Date:2019-03-01
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA60673363A00000X
COPA.0005734363A00000X
UT14228500-1206363A00000X
NVPA2137363A00000X
OK5234363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVPA2137OtherPHYSICIAN ASSISTANT LICENSE - NEVADA