Individual provider Active NPI

Val Gene Iven, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Stillwater, OK
National Provider Identifier
1043373533
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
17462 Issued in OK
Practice address
170 Athletics Center
Osu Sportsmedicine
Stillwater, OK 74078
Phone
(405) 744-5430
Fax
(405) 744-4945
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 24746 TN
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 24746 TN
Sports Medicine (Internal Medicine) Physician 207RS0010X 17462 OK Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 17462 OK

Addresses

Primary practice location

170 Athletics Center
Osu Sportsmedicine
Stillwater, OK 74078

Mailing address

170 Athletics Center
Osu Sportsmedicine
Stillwater, OK 74078
Phone (405) 744-5430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17462OKMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma State University Past Accepting new patients
Summit Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: viven246917@direct.saintfrancis.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1043373533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 ATHLETICS CENTER",
            "address_2": "OSU SPORTSMEDICINE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74078",
            "telephone_number": "405-744-5430",
            "fax_number": "405-744-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ATHLETICS CENTER",
            "address_2": "OSU SPORTSMEDICINE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74078",
            "telephone_number": "405-744-5430",
            "fax_number": "405-744-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEN",
        "first_name": "VAL GENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "TN",
            "license": "24746",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TN",
            "license": "24746",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "OK",
            "license": "17462",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OK",
            "license": "17462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.