Active NPI
Ronan Alexander Bakker, M.D.
- Maternal & Fetal Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 32144
- Practice address
- 4140 W Memorial Rd Ste 321
Oklahoma City, OK 73120-8300 - Phone
- (405) 748-4726
- Fax
- (405) 607-8497
- NPI assigned
- May 31, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 32144 | OK | Primary |
Addresses
Primary practice location
4140 W Memorial Rd Ste 321
Oklahoma City, OK 73120-8300
Mailing address
PO Box 268984
Oklahoma City, OK 73126-8984
Phone (405) 748-4726
Other practice location 1
3435 NW 56th St Ste 303
Oklahoma City, OK 73112-4414
Phone (405) 606-2850
Other practice location 2
3501 24th Ave NW Ste 101
Norman, OK 73069-6665
Phone (405) 801-2542
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200690020A | Medicaid | OK | |
| 836395 | Other | OK | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4140 W Memorial Rd
Suite 321
Oklahoma City, OK 73120-8300
Phone (405) 748-4726
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients |
Locations
1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570
2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181
1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700
817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392
Interoperability endpoints
- perinatalcenterofoklahoma.ronanbakker@111704.advancedmd-direct.com
Organizations & group practices 4
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.
-
- Maternal & Fetal Medicine Physician
- Oklahoma City, OK
- NPI 1942217815
-
- Home Health Agency
- Ada, OK
- NPI 1811739071
-
- Primary Care Clinic/Center
- Purcell, OK
- NPI 1982764395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1013278613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268984",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268984",
"telephone_number": "405-748-4726",
"fax_number": "405-607-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 W MEMORIAL RD STE 321",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208300",
"telephone_number": "405-748-4726",
"fax_number": "405-607-8497"
}
],
"practiceLocations": [
{
"address_1": "3435 NW 56th St Ste 303",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731124414",
"country_code": "US",
"telephone_number": "405-606-2850",
"fax_number": "405-606-2855",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3501 24th Ave NW Ste 101",
"address_purpose": "LOCATION",
"city": "Norman",
"state": "OK",
"postal_code": "730696665",
"country_code": "US",
"telephone_number": "405-801-2542",
"fax_number": "405-801-2564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKKER",
"first_name": "RONAN",
"middle_name": "ALEXANDER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-31",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "OK",
"license": "32144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200690020A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "836395",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.