NPIMap

Organization Active NPI

Andrew John, MD, PLLC

  • Dermatology Physician
  • Edmond, OK
National Provider Identifier
1124592738
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ANDREW JOHN, MD, PLLC
Practice address
620 W 15TH St
Edmond, OK 73013-3617
Phone
(405) 359-0551
Fax
(405) 359-3061
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Dr. Andrew John, MDNPI 1609193614
Title
Dermatologist
Phone
(405) 359-0551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

620 W 15TH St
Edmond, OK 73013-3617

Mailing address

620 W 15TH St
Edmond, OK 73013-3617
Phone (405) 359-0551

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1124592738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133617",
            "telephone_number": "405-359-0551",
            "fax_number": "405-359-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133617",
            "telephone_number": "405-359-0551",
            "fax_number": "405-359-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW JOHN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "405-359-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "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 Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.