Individual provider Active NPI

James Lee Knecht, D.O.

  • General Practice Physician
  • Perry, OK
National Provider Identifier
1114991122
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2238 Issued in OK
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

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
896329OtherOKAETNA
100100500AMedicaidOK
010028289OtherMEDICARE-RAILROAD
731173034OtherTRICARE
731173034001OtherBC/BS OF OKLAHOMA

Other names 1

  • Dr. Jim Knecht Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081126000199 OK Practitioner - Family PracticePractitioner - General 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

LicenseStateTypeSpecialty
2238OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Care Consultants Region II Inc CurrentSince Jan 25, 2012 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.

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

Verify at the official NPI Registry.