Active NPI
Jerome Anthony McTague, MD, JD
- Emergency Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 30495
- Practice address
- 2200 N Classen Blvd
Suite 1403
Oklahoma City, OK 73106-5800 - Phone
- (419) 461-1057
- NPI assigned
- Jul 9, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 30495 | OK | Primary |
| Emergency Medicine Physician | 207P00000X | 2014015848 | MO |
Addresses
Primary practice location
2200 N Classen Blvd
Suite 1403
Oklahoma City, OK 73106-5800
Mailing address
2200 N Classen Blvd
Suite 1403
Oklahoma City, OK 73106-5800
Phone (419) 461-1057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, MO
- 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
- Emergency Medicine
- Education
- Washington University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 N 14TH St
Ponca City, OK 74601-2035
Phone (580) 765-3321
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (254) 879-4900
5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4700
Hospital & facility affiliations
- Integris Health Ponca City
- Memorial Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.39 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Juris Doctor, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30495 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Ies Oklahoma LLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital | Current | Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| Physicians Choice Hospital - Fremont Physicians | Current | Accepting new patients | |
| Ehp of Ponca City LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Oklahoma, Inc. | Emergency Medicine | Current | Accepting new patients |
| Erie Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Lucas County Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
| Comanche County Hospital Authority | Past | Accepting new patients | |
| Memorial Emergency Specialists Inc. | Emergency Medicine | Past | Accepting new patients |
| Fort Ball Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Duncan Regional Hospital, Inc. | Past | Accepting new patients | |
| Southwestern Medical Center, LLC | Past | Accepting new patients | |
| Integris Health Ponca City Hospital Inc | Past | Accepting new patients | |
| Mercy Emergency Care Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Ohio Em-I Medical Services Professional Association | Emergency Medicine | Past | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321
2390 Enterprise St
Fremont, OH 43420
Phone (419) 461-1057
1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
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 19
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.
-
- Emergency Medicine Physician
- Ponca City, OK
- NPI 1881419802
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1437916525
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1154104404
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Emergency Medicine Physician
- Ponca City, OK
- NPI 1528040722
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
- Diagnostic Radiology Physician
- Fremont, OH
- NPI 1538486055
-
- Emergency Medicine Physician
- Fremont, OH
- NPI 1114028172
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- General Acute Care Hospital
- Ponca City, OK
- NPI 1548047616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1194758540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 N CLASSEN BLVD",
"address_2": "SUITE 1403",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731065800",
"telephone_number": "419-461-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N CLASSEN BLVD",
"address_2": "SUITE 1403",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731065800",
"telephone_number": "419-461-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCTAGUE",
"first_name": "JEROME",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD, JD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "30495",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2014015848",
"primary": false
}
],
"identifiers": [],
"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 Nov 20, 2014; 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.