NPIMap

Organization Active NPI

Purcell Municipal Hospital

Doing business as PMH Emergency Physicians

  • Emergency Medicine Physician
  • Purcell, OK
National Provider Identifier
1306282348
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PURCELL MUNICIPAL HOSPITAL
Doing business as
PMH Emergency Physicians
Practice address
1500 N Green Ave
Attn Business Office Manager
Purcell, OK 73080-1642
Phone
(405) 527-2216
Fax
(405) 527-6963
NPI assigned
May 17, 2013
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Mr. James T Berry
Title
Ceo
Phone
(405) 527-2207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1500 N Green Ave
Attn Business Office Manager
Purcell, OK 73080-1642

Mailing address

PO Box 511
Attn Business Office Manager
Purcell, OK 73080-0511
Phone (405) 527-6524

Other names 1

  • PMH Emergency Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000100 OK Part B Supplier - Clinic/Group Practice 7719899400 Receives reassigned benefits from 6 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Purcell, OK

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey L Reed MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 N Green Ave
Ofc
Purcell, OK 73080
Phone (405) 527-2216

2301 N 9th Ave
Purcell, OK 73080
Phone (405) 527-6524

Practitioners & affiliated clinicians

Practitioners 6

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": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1306282348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "address_2": "ATTN BUSINESS OFFICE MANAGER",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730800511",
            "telephone_number": "405-527-6524",
            "fax_number": "405-527-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N GREEN AVE",
            "address_2": "ATTN BUSINESS OFFICE MANAGER",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730801642",
            "telephone_number": "405-527-2216",
            "fax_number": "405-527-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCELL MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-527-2207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMH Emergency Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Purcell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.