NPIMap

Individual provider Active NPI

Julian Cecil

  • Family Medicine Physician
  • Perry, OK
National Provider Identifier
1053601849
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28661 Issued in OK
Practice address
1318 Elm St
Perry, OK 73077-5034
Phone
(580) 336-9411
Fax
(580) 336-9422
NPI assigned
Apr 13, 2011
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28661 OK Primary

Addresses

Primary practice location

1318 Elm St
Perry, OK 73077-5034

Mailing address

PO Box 720006
Norman, OK 73070-4006
Phone (580) 336-9411

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
I20121004000372 OK Practitioner - Family Practice 2466601521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1016 Fir St
Perry, OK 73077-5053
Phone (405) 707-0900

1412 Fir St
Perry, OK 73077-5036
Phone (580) 336-9411

413 N 7TH St
Perry, OK 73077-6407
Phone (580) 336-9953

501 N 14TH St
Perry Specialty Clinic
Perry, OK 73077-5021
Phone (580) 336-5577

505 N 14TH St
Perry Family Physicians
Perry, OK 73077-5021
Phone (580) 336-3537

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority Family Medicine CurrentSince Jan 27, 2019 Accepting new patients
Stillwater Medical Center Authority Family Medicine CurrentSince Jan 27, 2019 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Sep 2, 2012 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Stillwater Medical Center Physicians Family Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1801 W 3rd St
Elk City, OK 73644
Phone 40584358551407

1318 Elm St
Perry, OK 73077
Phone (580) 336-3541

1412 Fir St
Perry, OK 73077
Phone (580) 336-3511

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: julian.cecil.1@9147.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1053601849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720006",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704006",
            "telephone_number": "580-336-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 ELM ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775034",
            "telephone_number": "580-336-9411",
            "fax_number": "580-336-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "JULIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "28661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, OK

Sources for this page

Verify at the official NPI Registry.