OrganizationActive
Spectra Medical Home Mht LLC
NPI 1700201498 · Physician Assistant · Choctaw, OK
Provider details
- NPI number
- 1700201498
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Elmer Owens, Owner(855) 860-2109
- License
- PA619 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12500 Ne 36th St
Choctaw, OK 73020-9111
Phone: (855) 860-2109
Street-level locationGet directions
Mailing address
1515 Heritage Drive
Mckinney, TX 75069-3379
Registry dates
- Enumerated
- 2014-03-04
- Last updated
- 2014-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.