Active NPI
Charles Allen Rodman IV, D.O.
- Emergency Medicine Physician
- Claremore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4328
- Practice address
- Claremore Regional Hospital
1415 N. Muskogee PL
Claremore, OK 74017 - Phone
- (918) 341-2556
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4328 | OK | Primary |
Addresses
Primary practice location
Claremore Regional Hospital
1415 N. Muskogee PL
Claremore, OK 74017
Mailing address
11311 S Kingston Ave
Tulsa, OK 74137-7734
Phone (918) 296-7171
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4328 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Current | Accepting new patients |
| Warren Clinic Inc | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Oklahoma, LLC | Emergency Medicine | Current | Accepting new patients |
| Norstar Emergency Physicians | Past | Accepting new patients | |
| Jane Phillips Memorial Medical Center, Inc. | Past | Accepting new patients | |
| Saint Francis Hospital Muskogee Inc | Past | Accepting new patients | |
| St. John Broken Arrow, Inc | Past | Accepting new patients | |
| Saint Francis Hospital Vinita, Inc | Past | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Emergency Medical Services (Emergency Medicine) Physician
- Norman, OK
- NPI 1093709537
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
- General Acute Care Hospital
- Vinita, OK
- NPI 1700334232
-
dba Ascension St. John Jenks
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013124031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11311 S KINGSTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741377734",
"telephone_number": "918-296-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLAREMORE REGIONAL HOSPITAL",
"address_2": "1415 N. MUSKOGEE PL",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "74017",
"telephone_number": "918-341-2556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODMAN",
"first_name": "CHARLES",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "4328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.