Active NPI
University of Oklahoma Health Scien Ctr Col of Med Enid Fam Med
- Family Medicine Physician
- Enid, OK
National Provider Identifier
1083626246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 261QM2500X
- Legal business name
- UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED
- Doing business as
- Enid Family Medicine
- Practice address
- 620 S Madison St
Suite 304
Enid, OK 73701-7273 - Phone
- (580) 242-1300
- Fax
- (580) 237-7913
- NPI assigned
- Aug 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Michael Pontious, MD
- Title
- Professor Director
- Phone
- (580) 242-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 261QM2500X | OK | Primary |
Addresses
Primary practice location
620 S Madison St
Suite 304
Enid, OK 73701-7273
Mailing address
620 S Madison St
Suite 304
Enid, OK 73701-7273
Phone (580) 242-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164478590 | Other | OK | DR. MARGO SHORT NPI # |
| 1457398141 | Other | OK | DR. PONTIOUS NPI # |
Other names 1
- Enid Family Medicine
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255651200000",
"number": "1083626246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 S MADISON ST",
"address_2": "SUITE 304",
"city": "ENID",
"state": "OK",
"postal_code": "737017273",
"telephone_number": "580-242-1300",
"fax_number": "580-237-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S MADISON ST",
"address_2": "SUITE 304",
"city": "ENID",
"state": "OK",
"postal_code": "737017273",
"telephone_number": "580-242-1300",
"fax_number": "580-237-7913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2009-10-16",
"status": "A",
"authorized_official_last_name": "PONTIOUS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PROFESSOR DIRECTOR",
"authorized_official_telephone_number": "580-242-1300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "261QM2500X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. MARGO SHORT NPI #",
"identifier": "1164478590",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. PONTIOUS NPI #",
"identifier": "1457398141",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Enid Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.