Active NPI
Edward Thomas King, M.D.
- Occupational Medicine Physician
- Tinker Afb, OK
National Provider Identifier
1184612152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 13590
- Practice address
- 8941 Entrance Rd a, BLDG 3334
Tinker Afb, OK 73145-3065 - Phone
- (405) 582-6836
- NPI assigned
- Oct 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 13590 | OK | Primary |
Addresses
Primary practice location
8941 Entrance Rd a, BLDG 3334
Tinker Afb, OK 73145-3065
Mailing address
PO Box 30243
Edmond, OK 73003-0005
Phone (405) 330-0830
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13590 | OK | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1184612152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30243",
"city": "EDMOND",
"state": "OK",
"postal_code": "730030005",
"telephone_number": "405-330-0830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8941 ENTRANCE RD A, BLDG 3334",
"city": "TINKER AFB",
"state": "OK",
"postal_code": "731453065",
"telephone_number": "405-582-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "EDWARD",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OK",
"license": "13590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinker Afb, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.