Active NPI
Mark Edsall Michels, MD
- Emergency Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 33113
- Practice address
- 900 NE 10TH St # 2102
Oklahoma City, OK 73104-5420 - Phone
- (405) 271-2230
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 33113 | OK | Primary |
Addresses
Primary practice location
900 NE 10TH St # 2102
Oklahoma City, OK 73104-5420
Mailing address
2022 24TH Ave SE
Norman, OK 73071-1006
Phone (580) 886-5171
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCurtain Memorial Medical Management, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| Integris Bass Baptist Health Center | Past | Accepting new patients | |
| Iacc/Ehi NW, LLC | Past | Accepting new patients |
Locations
1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103
200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Rural Acute Care Hospital
- Idabel, OK
- NPI 1629020177
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- Certified Registered Nurse Anesthetist
- Idabel, OK
- NPI 1184838203
Emergency Medicine
-
- Surgery Physician
- Idabel, OK
- NPI 1356506109
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1194209155
-
- General Acute Care Hospital
- Enid, OK
- NPI 1144236571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1114457017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 24TH AVE SE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730711006",
"telephone_number": "580-886-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NE 10TH ST # 2102",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045420",
"telephone_number": "405-271-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELS",
"first_name": "MARK",
"middle_name": "EDSALL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "33113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.