Active NPI
Homer Clark Hyde Jr., MD
- Urology Physician
- Oklahoma City, OK
National Provider Identifier
1245230705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 8687
- Practice address
- 4140 W Memorial Rd
Suite 422
Oklahoma City, OK 73120-8366 - Phone
- (405) 751-0051
- Fax
- (405) 751-0051
- NPI assigned
- Jul 27, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 8687 | OK | Primary |
Addresses
Primary practice location
4140 W Memorial Rd
Suite 422
Oklahoma City, OK 73120-8366
Mailing address
4140 W Memorial Rd
Suite 422
Oklahoma City, OK 73120-8366
Phone (405) 751-0051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202130641012 | Other | OK | BC/BS |
| 100253200A | Medicaid | OK |
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 |
|---|---|---|---|
| 8687 | OK | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Norman Regional Providers Primary Care | Past | Accepting new patients | |
| Surgical Specialists of Oklahoma PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Family Medicine Physician
- Norman, OK
- NPI 1548398274
-
- Surgery Physician
- Midwest City, OK
- NPI 1871542639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1245230705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W MEMORIAL RD",
"address_2": "SUITE 422",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208366",
"telephone_number": "405-751-0051",
"fax_number": "405-751-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 W MEMORIAL RD",
"address_2": "SUITE 422",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208366",
"telephone_number": "405-751-0051",
"fax_number": "405-751-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "HOMER",
"middle_name": "CLARK",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OK",
"license": "8687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "202130641012",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253200A",
"state": "OK"
}
],
"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 Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.