Active NPI
Paul Powen Cheng, M.D.
- Anesthesiology Physician
- Enid, OK
National Provider Identifier
1104856749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 18914
- Practice address
- 723 W Randolph Ave
Ste 6
Enid, OK 73701-3826 - Phone
- (580) 540-9182
- Fax
- (580) 237-2964
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 18914 | OK | Primary |
| Allergy Physician | 207KA0200X | 18914 | OK | |
| General Practice Physician | 208D00000X | 18914 | OK | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 18914 | OK |
Addresses
Primary practice location
723 W Randolph Ave
Ste 6
Enid, OK 73701-3826
Mailing address
723 W Randolph Ave
Ste 6
Enid, OK 73701-3826
Phone (580) 540-9182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18914 | OK | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Management Inc | Anesthesiology | Past | Accepting new patients |
| St Marys Anesthesia Group | Anesthesiology | Past | Accepting new patients |
| Providence Physician Group Inc | Anesthesiology | Past | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Enid, OK
- NPI 1679521355
-
- Certified Registered Nurse Anesthetist
- Muskogee, OK
- NPI 1861436636
Anesthesiology
-
- Anesthesiology Physician
- Enid, OK
- NPI 1629010269
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1104856749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 W RANDOLPH AVE",
"address_2": "STE 6",
"city": "ENID",
"state": "OK",
"postal_code": "737013826",
"telephone_number": "580-540-9182",
"fax_number": "580-237-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 W RANDOLPH AVE",
"address_2": "STE 6",
"city": "ENID",
"state": "OK",
"postal_code": "737013826",
"telephone_number": "580-540-9182",
"fax_number": "580-237-2964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "PAUL",
"middle_name": "POWEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "18914",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "OK",
"license": "18914",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OK",
"license": "18914",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "OK",
"license": "18914",
"primary": false
}
],
"identifiers": [],
"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 Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.