Individual provider Active NPI

Hianto T Te, MD

  • Surgery Physician
  • Guymon, OK
National Provider Identifier
1104923721
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16773 Issued in OK
Practice address
1221 N May
Guymon, OK 73942-1948
Phone
(580) 338-1580
Fax
(580) 338-6660
NPI assigned
Sep 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 16773 OK Primary

Addresses

Primary practice location

1221 N May
Guymon, OK 73942-1948

Mailing address

PO Box 1948
Guymon, OK 73942
Phone (580) 338-1580

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100222000628 OK Practitioner - General SurgeryPractitioner - General Practice 3274500483 Practice locations: Guymon, OK

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1221 N May St
Guymon, OK 73942-4457
Phone (580) 338-1580

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16773OKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Texas County Authority Past Accepting new patients

Organizations & group practices 1

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 4

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104923721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1948",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "73942",
            "telephone_number": "580-338-1580",
            "fax_number": "580-338-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N MAY",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739421948",
            "telephone_number": "580-338-1580",
            "fax_number": "580-338-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TE",
        "first_name": "HIANTO",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "16773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guymon, OK

Sources for this page

Verify at the official NPI Registry.