Active NPI
Hampton W Anderson III, D.O.
- Family Medicine Physician
- Idabel, OK
National Provider Identifier
1306818828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-24017
- Practice address
- 902 E Lincoln Rd
Idabel, OK 74745-7337 - Phone
- (580) 286-2600
- Fax
- (580) 286-1189
- NPI assigned
- Feb 7, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-24017 | KS | Primary |
Addresses
Primary practice location
902 E Lincoln Rd
Idabel, OK 74745-7337
Mailing address
306 Campbell St
Broken Bow, OK 74728-3142
Phone (580) 584-3835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8EZ13T | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-24017 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306818828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 CAMPBELL ST",
"city": "BROKEN BOW",
"state": "OK",
"postal_code": "747283142",
"telephone_number": "580-584-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 E LINCOLN RD",
"city": "IDABEL",
"state": "OK",
"postal_code": "747457337",
"telephone_number": "580-286-2600",
"fax_number": "580-286-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "HAMPTON",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-24017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8EZ13T",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idabel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.