Active NPI
Kenneth D Parrott, M.D.
- Family Medicine Physician
- Okeene, OK
National Provider Identifier
1194769703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12530
- Practice address
- 124 N 6TH St
Okeene, OK 73763 - Phone
- (580) 822-4404
- Fax
- (580) 822-4403
- NPI assigned
- Jun 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12530 | OK | Primary |
Addresses
Primary practice location
124 N 6TH St
Okeene, OK 73763
Mailing address
124 N 6TH St
Okeene, OK 73763
Phone (580) 822-4404
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00473633 | Other | RAILROAD MEDICARE | |
| 100122630A | Medicaid | OK | |
| 731185962002 | Other | OK | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12530 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1194769703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 N 6TH ST",
"city": "OKEENE",
"state": "OK",
"postal_code": "73763",
"telephone_number": "580-822-4404",
"fax_number": "580-822-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 N 6TH ST",
"city": "OKEENE",
"state": "OK",
"postal_code": "73763",
"telephone_number": "580-822-4404",
"fax_number": "580-822-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARROTT",
"first_name": "KENNETH",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "12530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00473633",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100122630A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "731185962002",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okeene, OK
- Okeene Municipal Hospital and Schallmo Authority
- Okeene Municipal Hospital and Schallmo Authority
- Okeene Municipal Hospital and Schallmo Authority
- Okeene Municpal Hospital and Schallmo Authority
- Okeene Public Schools
- Thomas Clayton Sander, PA-C
- Patricia Jayne Schwartz
- George Scott Stenger, D.O
- Summers Health Services, LLC
- Summit Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.