Active NPI
Daniel D. Washburn, M.D.
- Internal Medicine Physician
- Enid, OK
National Provider Identifier
1093972069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11337
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel D Washburn, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100253320B | Medicaid | OK | |
| $$$$$$$$$ | Other | OK | SOCIAL SECURITY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Enid, OK
- NPI 1013901461
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.