Individual provider Active NPI

Michael O'Quin, MD

  • Pediatrics Physician
  • Enid, OK
National Provider Identifier
1053401604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
16476 Issued in OK
Practice address
3201 N Van Buren St
Suite 300
Enid, OK 73703-1812
Phone
(580) 234-7070
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 16476 OK Primary

Addresses

Primary practice location

3201 N Van Buren St
Suite 300
Enid, OK 73703-1812

Mailing address

PO Box 3494
Enid, OK 73702-3494
Phone (580) 234-7070

Other identifiers 1

IdentifierTypeStateIssuer
100096510BMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100302000041 OK Practitioner - Pediatric Medicine 0244310431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Oklahoma College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Physician Associates LLCGroup PAC ID 3678672276, 28 clinicians

Practice addresses (Care Compare)

330 S 5TH St
Suite 401
Enid, OK 73701-5863
Phone (580) 249-3898

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Physician Associates, LLC CurrentSince May 1, 2022 Accepting new patients
Enid Clinic Inc Pediatrics CurrentSince May 1, 1997 Accepting new patients
St. Mary'S Physician Associates, LLC CurrentSince May 1, 2022 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients

Locations

330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700

302 N Independence St
Ste 700
Enid, OK 73701
Phone (580) 249-3066

3201 N Van Buren St
Ste 300
Enid, OK 73703
Phone (580) 233-5553

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053401604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3494",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737023494",
            "telephone_number": "580-234-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N VAN BUREN ST",
            "address_2": "SUITE 300",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031812",
            "telephone_number": "580-234-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'QUIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "16476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096510B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.