Individual provider Active NPI

James Daniel Stough, DPM

  • Podiatrist
  • Enid, OK
National Provider Identifier
1003043423
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
298 Issued in OK
Practice address
314 E Owen K Garriott Rd
Enid, OK 73701-5712
Phone
(580) 249-3929
Fax
(580) 234-3301
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 298 OK Primary

Addresses

Primary practice location

314 E Owen K Garriott Rd
Enid, OK 73701-5712

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (580) 249-3929

Other practice location 1

1717 N 4th St Ste 102
Ponca City, OK 74601-2749
Phone (580) 749-4729

Other practice location 2

1650 Main St Ste D
Woodward, OK 73801-3046
Phone (580) 249-3915

Other identifiers 1

IdentifierTypeStateIssuer
200445380AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000090 OK Practitioner - Podiatry 9931357316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

314 E Owen K Garriott Rd
St Mary'S Podiatry Clinic
Enid, OK 73701-5712
Phone (580) 249-3795

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue136
Removal of skin lesions1-10
Removal of nail tissue833
Removal or shaving of skin growth612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298OKMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Physician Associates, LLC Podiatrist CurrentSince Aug 20, 2012 Accepting new patients
St. Mary'S Physician Associates, LLC Podiatrist CurrentSince Aug 20, 2012 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients

Locations

330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700

314 E Owen K Garriott Rd
Enid, OK 73701
Phone (580) 233-8315

915 E Owen K Garriott Rd
Ste J
Enid, OK 73701
Phone (580) 297-5157

1717 N 4th St
Ste 102
Ponca City, OK 74601
Phone (580) 718-0665

1650 Main St
Ste D
Woodward, OK 73801
Phone (405) 604-4577

Interoperability endpoints

  • FHIR API: https://fhir.integrisok.com/Interconnect-FHIR/api/FHIR/R4/
  • Direct secure messaging: james.stough@ipmcentral.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1003043423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "580-249-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015712",
            "telephone_number": "580-249-3929",
            "fax_number": "580-234-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N 4th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746012749",
            "country_code": "US",
            "telephone_number": "580-749-4729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Main St Ste D",
            "address_purpose": "LOCATION",
            "city": "Woodward",
            "state": "OK",
            "postal_code": "738013046",
            "country_code": "US",
            "telephone_number": "580-249-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUGH",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200445380A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.