Organization Active NPI

Wynter Kipgen MD PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Oklahoma City, OK
National Provider Identifier
1306056205
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
18443 Issued in OK
Legal business name
WYNTER KIPGEN MD PLLC
Practice address
3555 NW 58TH St
Suite 901
Oklahoma City, OK 73112-4707
Phone
(405) 608-4520
Fax
(405) 608-4523
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Wynter W Kipgen, MD
Title
Managing Partner
Phone
(405) 715-7131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 18443 OK Primary

Addresses

Primary practice location

3555 NW 58TH St
Suite 901
Oklahoma City, OK 73112-4707

Mailing address

PO Box 20358
Oklahoma City, OK 73156-0358
Phone (405) 605-6141

National Provider Directory

National Provider Directory

Locations

3555 NW 58th St
Ste 901
Oklahoma City, OK 73112
Phone (405) 548-0440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1306056205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20358",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560358",
            "telephone_number": "405-605-6141",
            "fax_number": "405-605-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 NW 58TH ST",
            "address_2": "SUITE 901",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124707",
            "telephone_number": "405-608-4520",
            "fax_number": "405-608-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNTER KIPGEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "KIPGEN",
        "authorized_official_first_name": "WYNTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "405-715-7131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "18443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.