Organization Active NPI

Jeffrey a Rother MD PC

  • Internal Medicine Physician
  • Ardmore, OK
National Provider Identifier
1225179872
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17679 Issued in OK
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey A Rother, M.D.NPI 1811951999
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100101430AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.