John C Vallandigham, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24142 Issued in OK

Practice address

304 S 29TH St
Chickasha, OK 73018-2501

Phone

(405) 896-8058

Fax

(855) 223-1999

NPI assigned

Jun 22, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, IN, AR3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jvallandig@direct.iuhealth.org
• Direct secure messaging: jvallandigham218729@direct.integrisok.com
• Direct secure messaging: jvallandigham34592@direct.conemaugh.org
• Direct secure messaging: jvallandigham369337@direct.baptist-healthar.org

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.

• Board of Regents of the University of Oklahoma Ou Physicians Tulsa

  • Multi-Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1154385730
  Medicare reassignment NPD
• Northeastern Health System

  • Emergency Medicine Physician
  • Tahlequah, OK
  • NPI 1457574170
  Medicare reassignment NPD
• Arnett Clinic, LLC

  • Internal Medicine Physician
  • Lafayette, IN
  • NPI 1164490843
  Medicare reassignment NPD
• Baptist Health Services

  dba Baptist Health Foot and Ankle Clinic-Fort Smith

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
  • NPI 1922587690
  Medicare reassignment NPD
• Northeastern Health System

  dba Tahlequah Medical Group Primary Care

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1306387949
  NPD
• Northeastern Health System

  • Rehabilitation Hospital Unit
  • Tahlequah, OK
  • NPI 1528122371
  NPD
• Arnett Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, IN
  • NPI 1699839563
  NPD
• Arnett Clinic, LLC

  • Clinical Medical Laboratory
  • Lafayette, IN
  • NPI 1881655090
  NPD
• Baptist Health Services

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1750856043

  Internal Medicine

  NPD
• St. Mary's Himg, LLC

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1184233454
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265438501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730230929",
            "telephone_number": "405-896-8058",
            "fax_number": "855-223-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S 29TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182501",
            "telephone_number": "405-896-8058",
            "fax_number": "855-223-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "591 E 36th St N",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741061812",
            "country_code": "US",
            "telephone_number": "918-619-8700",
            "fax_number": "918-634-7884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15705 E 112th St N",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740555028",
            "country_code": "US",
            "telephone_number": "918-807-9063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLANDIGHAM",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "24142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traditions Health Care of Chickasha, LLC (Traditions Health of Western Oklahoma)
• David Albert Trevino Jr.
• Rory Troub Wiederstein, DC
• Kumudini M Vaidya, MD
• Valir Outpatient Clinic #17 LLC
• Lee Vanderlugt, DO
• Richard W Varley, O.D.
• Paula M Veach
• Craig J Verdin, DPM
• Karen Verser, APRN

• Internal Medicine Physician in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.