Individual provider Active NPI

Arthur Maduabia, DO

  • Emergency Medicine Physician
  • Norman, OK
National Provider Identifier
1073174306
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7007 Issued in OK
Practice address
901 N Porter Ave
Norman, OK 73071-6404
Phone
(405) 307-5340
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7007 OK Primary

Addresses

Primary practice location

901 N Porter Ave
Norman, OK 73071-6404

Mailing address

4531 Apple Estates Rd
Moore, OK 73160-2877
Phone (651) 315-2065

Other identifiers 1

IdentifierTypeStateIssuer
7007OtherOKMEDICAL LICENSE

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
I20201204002448 OK Practitioner - Emergency Medicine 2163833633 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Alabama College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Oklahoma TCS LLCGroup PAC ID 7315315454, 17 clinicians

Practice addresses (Care Compare)

5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4701

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
  • Arbuckle Memorial Hospital Authority Hospital, Sulphur, OK, CCN 371328

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7007OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Oklahoma, Inc. Emergency Medicine CurrentSince Feb 25, 2022 Accepting new patients
Arbuckle Memorial Hospital Current Accepting new patients
Hospitalist Medicine Physicians of Oklahoma TCS LLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients

Locations

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

105 Wall St
Poteau, OK 74953
Phone (918) 635-3100

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1073174306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 APPLE ESTATES RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602877",
            "telephone_number": "651-315-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716404",
            "telephone_number": "405-307-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUABIA",
        "first_name": "ARTHUR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "7007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "7007",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.