Patrice Elaine Mooney, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4043 Issued in OK

Practice address

501 SE Flower Mound Rd
Lawton, OK 73501-6388

Phone

(580) 351-6511

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Eagle Health Center

  • Clinic/Center
  • Ponca City, OK
  • NPI 1699875724
  Medicare reassignment NPD
• White Eagle Health Center

  • Substance Abuse Rehabilitation Facility
  • Ponca City, OK
  • NPI 1265271910
  NPD

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1104072818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 E 64TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741362137",
            "telephone_number": "405-248-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE FLOWER MOUND RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016388",
            "telephone_number": "580-351-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "PATRICE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick R Montgomery, D.D.S.
• Katherine Jean Moody, R.P.T.
• Sherry Ranee Moody, BSN, RN
• Zenobia Moody
• Emily Olivia Moon, D.C.
• Andrea Bernice Moore, BS CASE MANAGER
• Carol Marshea Moore
• Jessica Moore
• Katherine Roya Moore, APRN-CNP
• Lana J Moore, MS RPT

• Family Medicine Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.