NPIMap

Individual provider Active NPI

Ethan D Lindsey, MD

  • Child & Adolescent Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1033103304
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
16538 Issued in OK
Practice address
1117 NW 50TH St
Oklahoma City, OK 73118-4401
Phone
(405) 842-4435
Fax
(405) 842-2846
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 16538 OK Primary

Addresses

Primary practice location

1117 NW 50TH St
Oklahoma City, OK 73118-4401

Mailing address

1117 NW 50TH St
Oklahoma City, OK 73118-4401
Phone (405) 842-4435

Other identifiers 1

IdentifierTypeStateIssuer
100130670CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081117000660 OK Practitioner - Psychiatry 8527128859 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwestern Surgical Affiliates, LLCGroup PAC ID 0941365308, 22 clinicians
Hope Community Services, Inc.Group PAC ID 6507855517, 5 clinicians

Practice addresses (Care Compare)

1602 SW 82ND St
Lawton, OK 73505-9012
Phone (580) 536-0077

301 NW 63Rd St
Suite 650
Oklahoma City, OK 73116-7915
Phone (405) 842-4435

6100 S Walker Ave
Oklahoma City, OK 73139-7026
Phone (405) 634-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Healthcare CurrentSince Dec 1, 2025 Accepting new patients
Southwestern Surgical Affiliates, LLC CurrentSince Mar 1, 2023 Accepting new patients
Ethan D Lindsey MD PC Child & Adolescent Psychiatry CurrentSince Apr 12, 2011 Accepting new patients
Hope Community Services, Inc. CurrentSince Feb 13, 2026 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 1, 2025 Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Southwestern Medical Center Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

1602 SW 82nd St
Lawton, OK 73505
Phone (580) 536-0077

1117 NW 50th St
Oklahoma City, OK 73118
Phone (405) 842-4435

6100 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 510-3847

301 NW 63rd St
Ste 650
Oklahoma City, OK 73116
Phone (405) 842-4435

Interoperability endpoints

  • Direct secure messaging: ethan.lindsey.1@1821.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Organizations & group practices 11

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 3

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1033103304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184401",
            "telephone_number": "405-842-4435",
            "fax_number": "405-842-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184401",
            "telephone_number": "405-842-4435",
            "fax_number": "405-842-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "ETHAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "16538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100130670C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.