Kenneth Demasters
Medical Physician Assistant · Moore, OK
Kenneth Demasters is a medical physician assistant with a practice address in Moore, Oklahoma, and NPI 1073696605, issued on Oct 24, 2006. Check the license (Oklahoma PA1077, as entered in NPPES) with the Oklahoma board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kenneth Demasters
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- PA1077 OK
Self-reported in NPPES; status is on the state search - Practice location
- 507 NE 12TH St, Moore, OK 73160
- Phone
- (405) 703-4202
- Enumerated
- Oct 24, 2006
- Record last updated
- May 29, 2014 (not updated in 12 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 513 in Oklahoma → Look up another NPI →
Also registered at 507 NE 12TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kenneth Demasters in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
Search for license PA1077Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kenneth Demasters among 513 medical physician assistant records in Oklahoma
Kenneth Demasters is one of 513 medical physician assistant records with a practice address in Oklahoma. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 64% newer
- In a Medicare fileNo · 73% of these records are
- In the CMS Doctors and Clinicians fileNo · 55% of these records are
- Record last updated2014 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Oklahoma practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Oklahoma
There are 513 medical physician assistant records in Oklahoma. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 513 in Oklahoma → Every provider in Moore → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Makenzi Miller, PA-CMoore, OK 731601104581644
- Amy Pedlow, PA-CMoore, OK 731601649246331
- Mandi Rhodes, PA-CMoore, OK 731601114153293
- Harry Taylor, PA-CMoore, OK 731601447256193
- Lisa West, PA-CMoore, OK 731601104896760
- Deborah Labrie, P.A.-COklahoma City, OK 731591780894055
- Rachel Moore, PA-COklahoma City, OK 731591952573735
- Holly Max, PA-COklahoma City, OK 731621659926855
Common questions
What is Kenneth Demasters's NPI number?
Kenneth Demasters's National Provider Identifier (NPI) is 1073696605, issued on Oct 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Demasters located?
The NPPES record lists a practice address at 507 NE 12TH St, Moore, OK, 73160. Phone: (405) 703-4202. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Demasters's license?
NPPES lists Oklahoma license number PA1077, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.