Active NPI
Jeffrey a Rother MD PC
- Internal Medicine Physician
- Ardmore, OK
National Provider Identifier
1225179872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17679
- Legal business name
- JEFFREY A ROTHER MD PC
- Practice address
- 1221 G St NW
Ardmore, OK 73401-1812 - Phone
- (580) 224-2900
- Fax
- (580) 224-0009
- NPI assigned
- Feb 8, 2007
- Last updated
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey A Rother, M.D.
- Title
- Chief Executive Officer
- Phone
- (580) 224-2900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17679 | OK | Primary |
Addresses
Primary practice location
1221 G St NW
Ardmore, OK 73401-1812
Mailing address
1221 G St NW
Ardmore, OK 73401-1812
Phone (580) 224-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100101430A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
1221 G St NW
Ardmore, OK 73401
Phone (580) 224-2900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Ardmore, OK
- NPI 1811951999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1225179872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 G ST NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011812",
"telephone_number": "580-224-2900",
"fax_number": "580-224-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 G ST NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011812",
"telephone_number": "580-224-2900",
"fax_number": "580-224-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY A ROTHER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "ROTHER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "580-224-2900",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "17679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100101430A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.