Organization Active NPI

Michael G. McCauley M.D. Inc.

  • Dermatology Physician
  • Ardmore, OK
National Provider Identifier
1295753986
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200042070AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
O20041025000748 OK Part B Supplier - Clinic/Group Practice 3870554645 Receives reassigned benefits from 11 practitioners
Practice locations: Ardmore, OK

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.