Deacon Vice, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5644 Issued in OK

Practice address

4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223

Phone

(405) 636-7709

NPI assigned

Jan 3, 2014

Last updated

Aug 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Emergency Medicine

Education

University of Oklahoma College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grady Memorial HospitalGroup PAC ID 0648175778, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Complete Home Health of Tishomingo LLC Home health agency, Tishomingo, OK, CCN 377704
• Complete Hospice Care of Southern Oklahoma Hospice, Lawton, OK, CCN 371701
• Lifeline Hospice, Inc. Hospice, Chickasha, OK, CCN 371611
• Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
• Memorial Health Hospital, Lawton, OK, CCN 370056
• Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as apm

Quality

76.55

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dvice@direct.gradymem.org
• Direct secure messaging: dvice14926@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Neighborhood Hospice, LLC

  dba Complete Hospice Care of Southern Oklahoma

  • Community Based Hospice Care Agency
  • Lawton, OK
  • NPI 1861632978

  Contracted Managing Employee

  CMS ownership

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.

• Grady Memorial Hospital

  dba Anesthesia Services

  • Anesthesiology Physician
  • Chickasha, OK
  • NPI 1750370268
  Medicare reassignment Care Compare group NPD
• Carnegie Tri-County Municipal Hospital Management, Inc

  dba Carnegie Tri-County Municipal Hospital

  • General Practice Physician
  • Carnegie, OK
  • NPI 1275657017
  Medicare reassignment NPD
• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297
  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment NPD
• Oklahoma Emergency Services PC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1114239795
  Medicare reassignment NPD
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  Medicare reassignment NPD
• Hospital Care Consultants Region II Inc

  • Internal Medicine Physician
  • West Memphis, AR
  • NPI 1558491449

  OK

  Medicare reassignment NPD
• Carnegie Tri-County Municipal Hospital Management, Inc.

  dba Carnegie Tri-County Municipal Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Carnegie, OK
  • NPI 1861660920
  NPD
• Cross County Medical

  • Land Ambulance
  • Chickasha, OK
  • NPI 1124858337
  NPD
• Grady Memorial Hospital

  • General Acute Care Hospital
  • Chickasha, OK
  • NPI 1538169198
  NPD
• Grady Memorial Hospital

  dba Five Oaks Medical Group

  • Clinic/Center
  • Chickasha, OK
  • NPI 1659302115
  NPD
• Grady Memorial Hospital

  dba Tuttle Family Medical Clinic

  • Rural Health Clinic/Center
  • Tuttle, OK
  • NPI 1750715439
  NPD

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

• Comanche County Hospital Authority

  dba CCMH Ambulance Services

  • Land Ambulance
  • Walters, OK
  • NPI 1285181610

  Hospital

  Care Compare affiliation
• Comanche County Hospital Authority

  dba Comanche County Memorial Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  Care Compare affiliation
• Comanche County Hospital Authority

  dba CCMH Ambulance Services

  • Land Ambulance
  • Lawton, OK
  • NPI 1770525883

  Hospital

  Care Compare affiliation
• Complete Home Health of Tishomingo LLC

  • Home Health Agency
  • Tishomingo, OK
  • NPI 1891116232
  Care Compare affiliation
• Grady Memorial Hospital

  • General Acute Care Hospital
  • Chickasha, OK
  • NPI 1538169198
  Care Compare affiliation
• Lifeline Hospice, Inc.

  • Community Based Hospice Care Agency
  • Chickasha, OK
  • NPI 1083619969
  Care Compare affiliation
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  Care Compare affiliation
• Neighborhood Hospice, LLC

  dba Complete Hospice Care of Southern Oklahoma

  • Community Based Hospice Care Agency
  • Lawton, OK
  • NPI 1861632978
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1073934352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE",
            "address_2": "SUITE 306",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093223",
            "telephone_number": "405-636-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 17th St",
            "address_purpose": "LOCATION",
            "city": "Woodward",
            "state": "OK",
            "postal_code": "738012448",
            "country_code": "US",
            "telephone_number": "580-256-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 N Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731122074",
            "country_code": "US",
            "telephone_number": "405-604-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Health Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996381",
            "country_code": "US",
            "telephone_number": "405-717-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731093413",
            "country_code": "US",
            "telephone_number": "405-636-7709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1323 W 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740744306",
            "country_code": "US",
            "telephone_number": "405-742-5454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Integris Pkwy",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730348864",
            "country_code": "US",
            "telephone_number": "405-713-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 NW Expwy",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124418",
            "country_code": "US",
            "telephone_number": "405-949-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICE",
        "first_name": "DEACON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "5644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabell Nicole Vester
• Paula D Vester, BA CMII
• Veteran's Affairs Medical Center
• Vibe Pelvic Health, LLC
• Dana Ann Vice
• Keith Jermaine Vick
• Penny Vick
• Star Ann Vick
• Timothy Aaron Vick
• Samantha Victor

• Emergency Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.