Savannah Delk Stumph, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

390200000X Issued in OK

Practice address

416 W 15TH St
Building 200
Edmond, OK 73013-3666

Phone

(405) 471-5800

Fax

(405) 471-5861

NPI assigned

Jul 22, 2008

Last updated

Nov 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Savannah Delk Baker Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1225293012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W 15TH ST",
            "address_2": "BUILDING 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133747",
            "telephone_number": "405-471-5800",
            "fax_number": "405-471-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W 15TH ST",
            "address_2": "BUILDING 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133666",
            "telephone_number": "405-471-5800",
            "fax_number": "405-471-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMPH",
        "first_name": "SAVANNAH",
        "middle_name": "DELK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200255700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "BAKER",
            "middle_name": "DELK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Raquel Strange, O.D.
• Joe A Streich, P.T.
• Samantha Dawn Stretesky, RD/LD, PA-C
• Lindsay Stuart
• Emily Stubblefield, MA
• Ina Sukut, DDS
• Makia Sullivan
• Taylor Sullivan
• Saeeda Sultana, NURSE PRACTITIONER
• Summer Lashley, LLC

• Pediatrics Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.