Active NPI
Henry J Pearce, M.D., Inc.
- Vascular Surgery Physician
- Edmond, OK
National Provider Identifier
1104967389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 8341
- Legal business name
- HENRY J PEARCE, M.D., INC.
- Practice address
- 1600 Medical Center Dr
Edmond, OK 73034-6357 - Phone
- (405) 340-0511
- Fax
- (405) 348-9026
- NPI assigned
- Feb 9, 2007
- 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
- Henry J Pearce, M.D.
- Title
- President
- Phone
- (405) 340-0511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 8341 | OK | Primary |
Addresses
Primary practice location
1600 Medical Center Dr
Edmond, OK 73034-6357
Mailing address
1600 Medical Center Dr
Edmond, OK 73034-6357
Phone (405) 340-0511
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Cushing, OK
- NPI 1477519809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104967389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346357",
"telephone_number": "405-340-0511",
"fax_number": "405-348-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346357",
"telephone_number": "405-340-0511",
"fax_number": "405-348-9026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY J PEARCE, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PEARCE",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-340-0511",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "OK",
"license": "8341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.