Organization Active NPI

Daniel D. Washburn, M.D.

  • Internal Medicine Physician
  • Enid, OK
National Provider Identifier
1093972069
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11337 Issued in OK
Legal business name
DANIEL D. WASHBURN, M.D.
Practice address
1815 E Maple Ave
Enid, OK 73701-4557
Phone
(580) 242-1881
Fax
(580) 234-2090
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Daniel D Washburn, M.D.NPI 1013901461
Title
Owner
Phone
(580) 242-1881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11337 OK Primary

Addresses

Primary practice location

1815 E Maple Ave
Enid, OK 73701-4557

Mailing address

1815 E Maple Ave
Enid, OK 73701-4557
Phone (580) 242-1881

Other identifiers 2

IdentifierTypeStateIssuer
100253320BMedicaidOK
$$$$$$$$$OtherOKSOCIAL SECURITY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1093972069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E MAPLE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014557",
            "telephone_number": "580-242-1881",
            "fax_number": "580-234-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E MAPLE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014557",
            "telephone_number": "580-242-1881",
            "fax_number": "580-234-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D. WASHBURN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-242-1881",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "11337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253320B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2020; 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.