Individual provider Active NPI

Susan J Hakel, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1174594550
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10203 Issued in OK
Practice address
3435 NW 56TH St
Suite 750
Oklahoma City, OK 73112-4448
Phone
(405) 945-4900
Fax
(405) 945-4901
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10203 OK Primary

Addresses

Primary practice location

3435 NW 56TH St
Suite 750
Oklahoma City, OK 73112-4448

Mailing address

3435 NW 56TH St
Suite 750
Oklahoma City, OK 73112-4448
Phone (405) 945-4900

Other identifiers 2

IdentifierTypeStateIssuer
100016240BMedicaidOK
080165172OtherOKRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10203OKMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1174594550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH ST",
            "address_2": "SUITE 750",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124448",
            "telephone_number": "405-945-4900",
            "fax_number": "405-945-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH ST",
            "address_2": "SUITE 750",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124448",
            "telephone_number": "405-945-4900",
            "fax_number": "405-945-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKEL",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100016240B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080165172",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.