John Ray Resneder, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12326 Issued in OK

Practice address

900 N Porter Ave
Suite 110
Norman, OK 73071-6424

Phone

(405) 366-8900

Fax

(405) 366-8903

NPI assigned

Jun 12, 2006

Last updated

Mar 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Oklahoma College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norman Regional Hospital, Norman, OK, CCN 370008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

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

• Keto Wellness and Hormone Clinic

  • Specialist
  • Norman, OK
  • NPI 1295383289
  Medicare reassignment NPD Authorized official
• Southwestern Surgical Affiliates, LLC

  • Orthopaedic Surgery Physician
  • Lawton, OK
  • NPI 1013169531
  Medicare reassignment NPD
• John R Resneder MD PC

  • Specialist
  • Norman, OK
  • NPI 1770751299
  Authorized official Same address or phone
• Norman Regional Hospital Authority

  dba West Norman Endoscopy

  • Ambulatory Surgical Clinic/Center
  • Norman, OK
  • NPI 1508419474
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• Norman Regional Hospital Authority

  dba Norman Regional

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1316989205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N PORTER AVE",
            "address_2": "SUITE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716424",
            "telephone_number": "405-366-8900",
            "fax_number": "405-366-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N PORTER AVE",
            "address_2": "SUITE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716424",
            "telephone_number": "405-366-8900",
            "fax_number": "405-366-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNEDER",
        "first_name": "JOHN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "12326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100950A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1770751299",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alishia Jean Reno
• Rescue Life Health Care System LLC (Rescue Life Health Care System)
• Resilience From Addiction
• Resilient Minds Performance Counseling and Consulting PLLC
• Resilient Tribal Roots, PLLC
• Restore Behavioral Health LLC
• Mark James Revels, D.D.S
• Revive Health and Wellness
• Jared Rey, RBT
• Brandon Reynolds, LMFT

• Specialist in Norman, OK
• Providers in Norman, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.