NPIMap

Individual provider Active NPI

Dillon Paul Pryor, DO

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1316501992
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7030 Issued in OK
Practice address
4200 S Douglas Ave Ste 306
Oklahoma City, OK 73109-3215
Phone
(405) 636-7195
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Mid-America PC 86 clinicians
Emergency Services of Oklahoma PC 63 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

3300 NW Expwy
Oklahoma City, OK 73112-4418
Phone (405) 949-3011

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811002972 OK Practitioner - Emergency Medicine 0941626774 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7030OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Current Accepting new patients
Grady Memorial Hospital CurrentSince Oct 7, 2021 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Arbuckle Memorial Hospital CurrentSince Oct 1, 2020 Accepting new patients
Farmers Union Hospital Association CurrentSince Aug 26, 2020 Accepting new patients
Arbuckle Memorial Hospital CurrentSince Oct 1, 2020 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Sep 9, 2020 Accepting new patients
Arbuckle Memorial Hospital Current Accepting new patients
Farmers Union Hospital Association CurrentSince Aug 26, 2020 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 S Douglas Blvd
Oklahoma City, OK 73150
Phone (405) 815-5000

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

2011 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-2161

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7030 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

4200 S Douglas Ave Ste 306
Oklahoma City, OK 73109-3215

Mailing address

4633 Olde Village Cir
Edmond, OK 73013-4768
Phone (405) 760-1612

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2020.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1316501992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 OLDE VILLAGE CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134768",
            "telephone_number": "405-760-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE STE 306",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093215",
            "telephone_number": "405-636-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "DILLON",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2020-09-01",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "7030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.