Active NPI
Doney Medical, Inc.
- Medical Specialty Clinic/Center
- Miami, OK
National Provider Identifier
1104900554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 11653
- Legal business name
- DONEY MEDICAL, INC.
- Practice address
- 310 2ND Ave SW
Suite 201
Miami, OK 74354-6702 - Phone
- (918) 542-8477
- Fax
- (918) 542-6422
- NPI assigned
- Oct 24, 2006
- 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
- Dr. Jack R. Doney, M.D.
- Title
- Physician
- Phone
- (918) 542-8477
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11653 | OK | |
| Obstetrics & Gynecology Physician | 207V00000X | 11653 | OK | |
| Medical Specialty Clinic/Center | 261QM2500X | 11653 | OK | Primary |
Addresses
Primary practice location
310 2ND Ave SW
Suite 201
Miami, OK 74354-6702
Mailing address
310 2ND Ave SW
Suite 201
Miami, OK 74354-6702
Phone (918) 542-8477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100209450A | Medicaid | OK | |
| 100735640A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0688982 | Doney Medical Inc | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Miami, OK
- NPI 1518927664
-
- Medical Physician Assistant
- Miami, OK
- NPI 1932253275
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Joplin, MO
- NPI 1396712972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1104900554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 2ND AVE SW",
"address_2": "SUITE 201",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546702",
"telephone_number": "918-542-8477",
"fax_number": "918-542-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 2ND AVE SW",
"address_2": "SUITE 201",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546702",
"telephone_number": "918-542-8477",
"fax_number": "918-542-6422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONEY MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "DONEY",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "918-542-8477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "11653",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "11653",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OK",
"license": "11653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100209450A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100735640A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.