Individual provider Active NPI

John Ronald Fitzgerald, D.O.

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1164848982
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5556 Issued in OK
Practice address
4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone
(405) 636-7709
NPI assigned
Mar 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5556 OK Primary
Emergency Medicine Physician 207P00000X 0013R OK

Addresses

Primary practice location

4401 S Western Ave
Oklahoma City, OK 73109-3413

Mailing address

7000 NE 98TH St
Oklahoma City, OK 73151-9116
Phone (918) 406-4344

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141023001892 OK Practitioner - Emergency Medicine 5890916472 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.21
Improvement activities
40
Cost
81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0013ROKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Aug 1, 2014 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Aug 15, 2016 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients

Locations

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

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 7

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": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1164848982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 NE 98TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731519116",
            "telephone_number": "918-406-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093413",
            "telephone_number": "405-636-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JOHN",
        "middle_name": "RONALD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "5556",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "0013R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.