Active NPI
Nadim F. Nimeh, M.D.
- Hematology & Oncology Physician
- Lawton, OK
National Provider Identifier
1275512915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 13893
- Practice address
- 104 NW 31St St
Lawton, OK 73505-6100 - Phone
- (580) 536-2121
- Fax
- (580) 536-2150
- NPI assigned
- Jan 11, 2006
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 13893 | OK | Primary |
Addresses
Primary practice location
104 NW 31St St
Lawton, OK 73505-6100
Mailing address
104 NW 31St St
Lawton, OK 73505-6100
Phone (580) 536-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100208960A | 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 |
|---|---|---|---|
| 13893 | OK | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Nadim F. Nimeh, MD | Past | Accepting new patients |
Organizations & group practices 2
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
-
- Specialist
- Lawton, OK
- NPI 1215196308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1275512915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 NW 31ST ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056100",
"telephone_number": "580-536-2121",
"fax_number": "580-536-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 NW 31ST ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056100",
"telephone_number": "580-536-2121",
"fax_number": "580-536-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMEH",
"first_name": "NADIM",
"middle_name": "F.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OK",
"license": "13893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100208960A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.