Organization Active NPI

Oklahoma Neuroscience and Addictionology

  • Medical Specialty Clinic/Center
  • Ponca City, OK
National Provider Identifier
1043433501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2141 Issued in OK
Legal business name
OKLAHOMA NEUROSCIENCE AND ADDICTIONOLOGY
Practice address
900 E Hartford Ave Ste a
Ponca City, OK 74601-2011
Phone
(580) 762-4103
Fax
(580) 762-4103
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Eugene Hall, PH.D.NPI 1467530717
Title
Physician
Phone
(580) 762-4103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 2141 OK Primary

Addresses

Primary practice location

900 E Hartford Ave Ste a
Ponca City, OK 74601-2011

Mailing address

900 E Hartford Ave Ste a
Ponca City, OK 74601-2011
Phone (580) 762-4103

National Provider Directory

National Provider Directory

Locations

900 E Hartford Ave
Ste A
Ponca City, OK 74601
Phone (580) 762-4103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043433501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HARTFORD AVE STE A",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012011",
            "telephone_number": "580-762-4103",
            "fax_number": "580-762-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E HARTFORD AVE STE A",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012011",
            "telephone_number": "580-762-4103",
            "fax_number": "580-762-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA NEUROSCIENCE AND ADDICTIONOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-762-4103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "2141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.