Organization Active NPI

Ronnie Keith DO PC

  • Surgery Physician
  • Norman, OK
National Provider Identifier
1265607212
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1923 Issued in OK
Legal business name
RONNIE KEITH DO PC
Practice address
2405 Palmer Cir
Norman, OK 73069-6349
Phone
(405) 360-7100
NPI assigned
Apr 29, 2008
Last updated
Jan 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Amanda McKinnon
Title
Office Manager
Phone
(405) 360-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1923 OK Primary

Addresses

Primary practice location

2405 Palmer Cir
Norman, OK 73069-6349

Mailing address

PO Box 722796
Norman, OK 73070-9123
Phone (405) 360-7100

Other identifiers 1

IdentifierTypeStateIssuer
100099950AMedicaidOK

National Provider Directory

National Provider Directory

Locations

3400 W Tecumseh Rd
Ste 205
Norman, OK 73072
Phone (405) 360-7100

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1265607212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722796",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730709123",
            "telephone_number": "405-360-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 PALMER CIR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696349",
            "telephone_number": "405-360-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE KEITH DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-360-7100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "1923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.