Henry K Upchurch Jr., DO

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

2821 Issued in OK

Practice address

300 Rockefeller Dr
Muskogee, OK 74401-5075

Phone

(918) 781-9466

NPI assigned

Oct 25, 2005

Last updated

Jul 8, 2007By 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, AR2 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 2

Specialty

Emergency Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Hospital BoonevilleGroup PAC ID 1951530385, shared by 5 NPIs, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318

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.

• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment NPD
• Mercy Hospital Booneville

  • Certified Registered Nurse Anesthetist
  • Booneville, AR
  • NPI 1083004733
  Medicare reassignment NPD
• Mercy Hospital Booneville

  • Critical Access Hospital
  • Booneville, AR
  • NPI 1992133714
  Medicare reassignment NPD
• Mercy Hospital Ozark

  • Critical Access Hospital
  • Ozark, AR
  • NPI 1275504128
  Medicare reassignment NPD
• Mercy Hospital Ozark

  • Emergency Care Clinic/Center
  • Ozark, AR
  • NPI 1881642767
  Medicare reassignment NPD
• Mercy Hospital Paris

  • Emergency Care Clinic/Center
  • Paris, AR
  • NPI 1518915321
  Medicare reassignment NPD
• Mercy Hospital Paris

  • Critical Access Hospital
  • Paris, AR
  • NPI 1760453633
  Medicare reassignment NPD
• Mercy Hospital Paris

  • Clinic/Center
  • Paris, AR
  • NPI 1912955709
  Medicare reassignment NPD
• Mercy Hospital Waldron

  • Emergency Care Clinic/Center
  • Waldron, AR
  • NPI 1730137134
  Medicare reassignment NPD
• Mercy Hospital Waldron

  • Critical Access Hospital
  • Waldron, AR
  • NPI 1912978875
  Medicare reassignment NPD
• Mercy Hospital Booneville

  • Rural Health Clinic/Center
  • Booneville, AR
  • NPI 1427486794
  NPD
• Mercy Hospital Waldron

  • Rural Health Clinic/Center
  • Waldron, AR
  • NPI 1043268451
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Booneville

  • Critical Access Hospital
  • Booneville, AR
  • NPI 1992133714
  Care Compare affiliation

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285624817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCKBOX #17",
            "address_2": "2424 E. 21ST #100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141711",
            "telephone_number": "866-321-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROCKEFELLER DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015075",
            "telephone_number": "918-781-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "HENRY",
        "middle_name": "K",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "2821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Paul Twist, PA
• Mercy Ifeoma Ugwu
• Ultra Care Therapy
• Christina Ann Underwood
• University Heights Medical Clinic
• Urgent Care of Muskogee PLLC
• Kimberly Diane Utley, PHARMD
• Kimberly Valencia
• Sam Valid, MD
• Jimmy Steven Van Schuyver, RN

• Emergency Medical Services (Emergency Medicine) Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.