Ronald W Shreck M D Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

11370 Issued in OK

Legal business name

RONALD W SHRECK M D INC

Practice address

407 E Cherokee Ave
Enid, OK 73701-5814

Phone

(580) 242-7020

Fax

(580) 233-1617

NPI assigned

Feb 22, 2007

Last updated

Mar 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Wayne Shreck, M.D.NPI 1326154394

Title

President

Phone

(580) 242-7020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Wayne Shreck, M.D.

  • Surgery Physician
  • Enid, OK
  • NPI 1326154394
  Authorized official Same address or phone

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1073648119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E CHEROKEE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015814",
            "telephone_number": "580-242-7020",
            "fax_number": "580-233-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E CHEROKEE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015814",
            "telephone_number": "580-242-7020",
            "fax_number": "580-233-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD W SHRECK M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "SHRECK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-242-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "11370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129380A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas A Roisum, MD
• Betzabet Rojo-Tapia
• Brenda Kay Roller
• Edmond Charles Rollins
• Alejandro Alberto Romero Delmastro, DDS
• John W Ronck, M.D.
• Sharon Kay Ronck, MS CCC
• Ross Home Health of Enid LLC (Elara Caring V)
• Ross Hospice of Enid LLC (Elara Caring VII)
• Ross Private Duty of Enid LLC (Ross Health Care Services Private Duty of Enid)

• Surgery Physician in Enid, OK
• Providers in Enid, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.