Individual provider Active NPI

Lorene Nicole Rodriguez, M.D.

  • Family Medicine Physician
  • Norman, OK
National Provider Identifier
1053549196
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A132793 Issued in CA
Practice address
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone
(405) 515-1000
NPI assigned
Jun 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 071276 GA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 071276 GA
Family Medicine Physician 207Q00000X A132793 CA Primary

Addresses

Primary practice location

3300 Healthplex Pkwy
Norman, OK 73072-9749

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-1000

Other names 1

  • Lorene Nicole Avnaim Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160729001631 CA Practitioner - Family Practice 3971723115 Reassigns benefits to 1 organization
I20240903000270 OK Practitioner - Family Practice 3971723115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Primary CareGroup PAC ID 5496837718, 56 clinicians

Practice addresses (Care Compare)

2605 SW 119TH St a
Primary Care
Oklahoma City, OK 73170-2601
Phone (405) 912-3400

2605 SW 119TH St B
Chiropractic and Wellness Clinic
Oklahoma City, OK 73170-2601
Phone (405) 912-3900

3201 W Tecumseh Rd
230 Primary Care
Norman, OK 73072-1820
Phone (405) 515-0800

3300 Healthplex Pkwy
Norman, OK 73072-9749

Hospital & facility affiliations

  • Norman Regional Hospital, Norman, OK, CCN 370008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132793CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Primary Care Family Medicine CurrentSince Jul 29, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Sep 12, 2017 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Sep 12, 2017 Accepting new patients
PMR Georgia Holding, LLC PastSince Aug 3, 2021 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

212 Coffee Rd
Ste 101
Bakersfield, CA 93309
Phone (661) 520-4050

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

3201 W Tecumseh Rd
Ste 230
Norman, OK 73072
Phone (405) 515-0800

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

2605 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 912-3100

Interoperability endpoints

  • Direct secure messaging: lorene.rodriguez@nrh.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1053549196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HEALTHPLEX PKWY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729749",
            "telephone_number": "405-515-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LORENE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-28",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "071276",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "071276",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A132793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORENE",
            "last_name": "AVNAIM",
            "middle_name": "NICOLE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.