Active NPI
John Wesley Mooring, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 29705
- Practice address
- 421 N Monte Vista St
Ada, OK 74820-4609 - Phone
- (580) 332-9595
- Fax
- (580) 332-4921
- NPI assigned
- May 25, 2007
- Last updated
- Nov 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | LP02650 | RI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 29705 | OK | Primary |
Addresses
Primary practice location
421 N Monte Vista St
Ada, OK 74820-4609
Mailing address
421 N Monte Vista St
Ada, OK 74820-4609
Phone (580) 332-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50997 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Medical School at San Antonio, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980
421 N Monte Vista St
Ada, OK 74820-4609
Phone (580) 332-9599
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29705 | OK | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Anatomical Pathology Associates, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Southern Oklahoma Pathology Assoc., Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients |
Locations
1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570
421 N Monte Vista St
Ada, OK 74820
Phone (580) 332-9595
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181
501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Organizations & group practices 9
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Ada, OK
- NPI 1508978149
-
dba Chickasaw Nation Medical Center
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
TX
-
- Clinical Medical Laboratory
- Ada, OK
- NPI 1306940689
Anatomic Pathology & Clinical Pathology
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
dba Chickasaw Nation Purcell Clinic
- Primary Care Clinic/Center
- Purcell, OK
- NPI 1982764395
-
dba Minticha Apila
- Home Health Agency
- Ada, OK
- NPI 1811739071
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chickasaw Nation Medical Center
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
-
dba Chickasaw Nation Tishomingo Clinic
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
dba Chickasaw Nation Ardmore Clinic
- Primary Care Clinic/Center
- Ardmore, OK
- NPI 1730249186
Hospital
-
dba Chickasaw Nation Purcell Clinic
- Primary Care Clinic/Center
- Purcell, OK
- NPI 1982764395
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
dba McAlester Regional Health Center
- Rural Acute Care Hospital
- McAlester, OK
- NPI 1316940034
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1174734495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 N MONTE VISTA ST",
"city": "ADA",
"state": "OK",
"postal_code": "748204609",
"telephone_number": "580-332-9595",
"fax_number": "580-332-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N MONTE VISTA ST",
"city": "ADA",
"state": "OK",
"postal_code": "748204609",
"telephone_number": "580-332-9595",
"fax_number": "580-332-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORING",
"first_name": "JOHN",
"middle_name": "WESLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "RI",
"license": "LP02650",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OK",
"license": "29705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50997",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.