Active NPI
James Lee Knecht, D.O.
- General Practice Physician
- Perry, OK
National Provider Identifier
1114991122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2238
- Practice address
- 505 N 14TH St
Perry, OK 73077-5021 - Phone
- (580) 336-2209
- Fax
- (580) 336-4584
- NPI assigned
- Feb 15, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2238 | OK | Primary |
Addresses
Primary practice location
505 N 14TH St
Perry, OK 73077-5021
Mailing address
505 N 14TH St
Perry, OK 73077-5021
Phone (580) 336-2209
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896329 | Other | OK | AETNA |
| 100100500A | Medicaid | OK | |
| 010028289 | Other | MEDICARE-RAILROAD | |
| 731173034 | Other | TRICARE | |
| 731173034001 | Other | BC/BS OF OKLAHOMA |
Other names 1
- Dr. Jim Knecht
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081126000199 | OK | Practitioner - Family Practice | 1951461656 | Reassigns benefits to 1 organization |
| I20210107000559 | CO | Practitioner - Emergency Medicine | 1951461656 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2238 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Care Consultants Region II Inc | Current | Accepting new patients |
Locations
1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458
1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677
501 N 14th St
Perry, OK 73077
Phone (580) 336-3541
17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200
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 and National Provider Directory roles.
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- Internal Medicine Physician
- West Memphis, AR
- NPI 1558491449
OK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1114991122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N 14TH ST",
"city": "PERRY",
"state": "OK",
"postal_code": "730775021",
"telephone_number": "580-336-2209",
"fax_number": "580-336-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N 14TH ST",
"city": "PERRY",
"state": "OK",
"postal_code": "730775021",
"telephone_number": "580-336-2209",
"fax_number": "580-336-4584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNECHT",
"first_name": "JAMES",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OK",
"license": "2238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "896329",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100100500A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-RAILROAD",
"identifier": "010028289",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "731173034",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF OKLAHOMA",
"identifier": "731173034001",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JIM",
"last_name": "KNECHT",
"prefix": "DR.",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Perry, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.