NPIMap

Individual provider Active NPI

Michael W Hammond, MD

  • Family Medicine Physician
  • Muskogee, OK
National Provider Identifier
1104861616
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15215 Issued in OK
Practice address
3900 W Broadway St
Muskogee, OK 74401-2145
Phone
(918) 682-8612
Fax
(918) 682-0620
NPI assigned
Jun 18, 2006
Last updated
Apr 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15215 OK Primary

Addresses

Primary practice location

3900 W Broadway St
Muskogee, OK 74401-2145

Mailing address

3900 W Broadway St
Muskogee, OK 74401-2145
Phone (918) 682-8612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005001249 OK Practitioner - Family PracticePractitioner - Chiropractic 7214952522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Chiropractic
Education
University of Oklahoma College of Medicine, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Brayderik ConsultingGroup PAC ID 8224302948, 5 clinicians

Practice addresses (Care Compare)

1607 S Muskogee Ave
Suite C
Tahlequah, OK 74464-5440
Phone (918) 931-7232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.04 of 100Reported as individual
Quality
39.7
Improvement activities
40
Cost
53.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brayderik Consulting CurrentSince Jan 2, 2018 Accepting new patients
Precision Internal Medicine Care PC CurrentSince Aug 1, 2015 Accepting new patients
Northeastern Health System Past Accepting new patients
Michael W Hammond, M.D. Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

3900 W Broadway St
Muskogee, OK 74401
Phone (918) 682-8612

1607 S Muskogee Ave
Ste C
Tahlequah, OK 74464
Phone (918) 456-0011

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 5

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1104861616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012145",
            "telephone_number": "918-682-8612",
            "fax_number": "918-682-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012145",
            "telephone_number": "918-682-8612",
            "fax_number": "918-682-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "15215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.