Jeff E Northcutt, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

22394 Issued in OK

Practice address

1908 N 14TH St
Suite 206
Ponca City, OK 74601-2014

Phone

(580) 762-8045

Fax

(580) 762-2798

NPI assigned

Jun 13, 2006

Last updated

Nov 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

University of Oklahoma College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obstetrical Hospitalists and Womens Services LLCGroup PAC ID 8224258827, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Obstetrical Hospitalists & Women's Services, LLC

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
  • NPI 1821423591
  Medicare reassignment Care Compare group NPD
• Jeff E Northcutt MD PLLC

  • Specialist
  • Ponca City, OK
  • NPI 1154475887
  Authorized official Same address or phone
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  NPD (past)
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1174566772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N 14TH ST",
            "address_2": "SUITE 206",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012014",
            "telephone_number": "580-762-8045",
            "fax_number": "580-762-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N 14TH ST",
            "address_2": "SUITE 206",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012014",
            "telephone_number": "580-762-8045",
            "fax_number": "580-762-2798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208304",
            "country_code": "US",
            "telephone_number": "405-286-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "JEFF",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "22394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn L Nipper, BSN RN
• Wesley E Nipper, DDS
• Charles Nix, L.P.C. CANDIDATE
• North Central Oklahoma
• North Central Palliative Care, LLC
• Northern Oklahoma Regional Pediatric Clinic, PLLC
• Northern Oklahoma Youth Services
• Tim Patrick O'Connor, DPH
• Lorraine Agnes O'Neill, MS
• Paula Oast, COTA

• Specialist in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.