Active NPI
Michael G. McCauley M.D. Inc.
- Dermatology Physician
- Ardmore, OK
National Provider Identifier
1295753986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- MICHAEL G. MCCAULEY M.D. INC.
- Practice address
- 2410 N Commerce St
Ardmore, OK 73401 - Phone
- (580) 436-2156
- Fax
- (580) 226-0820
- NPI assigned
- Jul 18, 2006
- Last updated
- May 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherra Barbour
- Title
- Finance Admin
- Phone
- (580) 226-0812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2410 N Commerce St
Ardmore, OK 73401
Mailing address
2410 N Commerce St
Ardmore, OK 73401
Phone (580) 226-0812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200042070A | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmccauley@directaddress.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
413 N Monte Vista St
Ada, OK 74820
Phone (580) 436-2156
2410 N Commerce St
Ardmore, OK 73401
Phone (580) 226-0812
1606 W Jones Ave
#B
Duncan, OK 73533
Phone (580) 255-7546
307 Radio Rd
Durant, OK 74701
Phone (580) 931-9977
Interoperability endpoints
- mmccauley@directaddress.net
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Norman, OK
- NPI 1104262526
-
- Surgery Physician
- Ardmore, OK
- NPI 1831149210
-
- Dermatology Physician
- Ardmore, OK
- NPI 1497791578
-
- Dermatology Physician
- Ardmore, OK
- NPI 1588688063
-
- Physician Assistant
- Ardmore, OK
- NPI 1548047525
-
- Medical Physician Assistant
- Ardmore, OK
- NPI 1285713065
-
- Dermatology Physician
- Ardmore, OK
- NPI 1588687669
-
- Physician Assistant
- Ardmore, OK
- NPI 1609232164
-
- Physician Assistant
- Ardmore, OK
- NPI 1245501105
-
- Physician Assistant
- Tulsa, OK
- NPI 1912998857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590537600000",
"number": "1295753986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "73401",
"telephone_number": "580-226-0812",
"fax_number": "580-226-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "73401",
"telephone_number": "580-436-2156",
"fax_number": "580-226-0820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL G. MCCAULEY M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A",
"authorized_official_last_name": "BARBOUR",
"authorized_official_first_name": "SHERRA",
"authorized_official_title_or_position": "FINANCE ADMIN",
"authorized_official_telephone_number": "580-226-0812"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200042070A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmccauley@directaddress.net",
"affiliation": "N",
"endpointDescription": "direct message",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "2410 N Commerce",
"city": "Ardmore",
"state": "OK",
"country_code": "US",
"postal_code": "73401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.