Mitsi A Faubion, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4294 Issued in OK

Practice address

109 Stanley Rd
Clayton, OK 74536-0219

Phone

(918) 569-4143

Fax

(918) 569-7343

NPI assigned

Sep 20, 2005

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Oklahoma State University College of Osteopathic Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central Medical and Resource Center IncGroup PAC ID 9032200084, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norman Regional Hospital, Norman, OK, CCN 370008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEIDAA

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.

• South Central Medical and Resource Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Lindsay, OK
  • NPI 1366585564
  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OK

  Medicare reassignment NPD
• Pushmataha Family Medical Center Inc

  dba Pushmataha Family Medical Center of Boswell

  • Federally Qualified Health Center (FQHC)
  • Boswell, OK
  • NPI 1487193819
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Norman Regional Hospital Authority

  dba Norman Regional

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1063408656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "MILBURN",
            "state": "OK",
            "postal_code": "734500067",
            "telephone_number": "580-443-3533",
            "fax_number": "580-443-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 STANLEY RD",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "745360219",
            "telephone_number": "918-569-4143",
            "fax_number": "918-569-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBION",
        "first_name": "MITSI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Janelle Blagg, CNP
• Paula Sue Brown, NP
• Clayton Pharmacy
• Clayton Public School
• Curatio Hospice Inc
• Jason S Graves
• Gerald N Harper, APRN-CNP
• Rita Cheryl Linker, DPH
• Ernest B Perkins, PA-C
• Jacob Lynn Peters

• Family Medicine Physician in Clayton, OK
• Providers in Clayton, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.