Individual provider Active NPI

Andrew Phillips, DO

  • Emergency Medicine Physician
  • Norman, OK
National Provider Identifier
1295256162
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0219R Issued in OK
Practice address
901 N Porter Ave Ofc
Norman, OK 73071-6404
Phone
(405) 307-5340
NPI assigned
Jun 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0219R OK Primary

Addresses

Primary practice location

901 N Porter Ave Ofc
Norman, OK 73071-6404

Mailing address

901 N Porter Ave Ofc
Norman, OK 73071-6404

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
I20180822001681 OK Practitioner - Emergency Medicine 8123377264 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0219ROKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Hospital Authority Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Norman Regional Hospital Authority CurrentSince Jan 1, 2021 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 2, 2020 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Dec 10, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 2, 2020 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Apr 1, 2019 Accepting new patients
Farmers Union Hospital Association Current Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Apr 1, 2019 Accepting new patients
Farmers Union Hospital Association CurrentSince Oct 3, 2018 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Apr 1, 2019 Accepting new patients
Norman Regional Providers Specialty Care PastSince Sep 25, 2019 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

901 N Porter Ave
Ofc
Norman, OK 73071
Phone (405) 307-5340

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

Dept 1467
Tulsa, OK 74182

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1295256162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N PORTER AVE OFC",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PORTER AVE OFC",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716404",
            "telephone_number": "405-307-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "0219R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.