Individual provider Active NPI

Sheila Sue Newcomb, D.O.

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1285836692
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4460 Issued in OK
Practice address
5401 N Portland Ave
Suite 440
Oklahoma City, OK 73112-2121
Phone
(405) 604-4100
Fax
(405) 604-4203
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4460 OK Primary

Addresses

Primary practice location

5401 N Portland Ave
Suite 440
Oklahoma City, OK 73112-2121

Mailing address

6501 S Western Ave
Ste 101
Oklahoma City, OK 73139-1709
Phone (405) 604-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091109000085 OK Practitioner - Obstetrics/Gynecology 8325186588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB GYN Associates LLCGroup PAC ID 9537250378, 2 clinicians

Practice addresses (Care Compare)

6501 S Western Ave
Suite 101
Oklahoma City, OK 73139-2011
Phone (405) 632-1730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4460OKMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB GYN Associates LLC Obstetrics & Gynecology CurrentSince Oct 1, 2013 Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Deaconess Physician Services LLC Obstetrics & Gynecology Past Accepting new patients

Locations

6501 S Western Ave
Ste 101
Oklahoma City, OK 73139

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

1140 SW 44th St
Oklahoma City, OK 73109
Phone (405) 632-1730

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1285836692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 S WESTERN AVE",
            "address_2": "STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391709",
            "telephone_number": "405-604-4100",
            "fax_number": "405-604-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND AVE",
            "address_2": "SUITE 440",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122121",
            "telephone_number": "405-604-4100",
            "fax_number": "405-604-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "SHEILA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "4460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.