NPIMap

Individual provider Active NPI

Allen J Hamaker, MD

  • Internal Medicine Physician
  • Okc, OK
National Provider Identifier
1326028663
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20735 Issued in OK
Practice address
3613 NW 56TH St.
Suite 140
Okc, OK 73112
Phone
(405) 949-6481
Fax
(405) 795-5908
NPI assigned
Jan 20, 2006
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20735 OK Primary

Addresses

Primary practice location

3613 NW 56TH St.
Suite 140
Okc, OK 73112

Mailing address

3613 NW 56TH St.
Suite 140
Okc, OK 73112
Phone (405) 949-6481

Other identifiers 1

IdentifierTypeStateIssuer
100060090AMedicaidOK

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
I20050603000727 OK Practitioner - Internal Medicine 7416990148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3613 NW 56TH St
Suite 140
Oklahoma City, OK 73112-4520
Phone (405) 795-5903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20735OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen J Hamaker, MD PC Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3613 NW 56th St
Ste 140
Oklahoma City, OK 73112
Phone (405) 942-3600

5701 N Portland Ave
Ste 210
Oklahoma City, OK 73112
Phone (405) 949-6481

Interoperability endpoints

  • Direct secure messaging: ahamaker@yourcarecommunity.org
  • Direct secure messaging: allen.hamaker.1@23893.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1326028663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 NW 56TH ST.",
            "address_2": "SUITE 140",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-949-6481",
            "fax_number": "405-795-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NW 56TH ST.",
            "address_2": "SUITE 140",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-949-6481",
            "fax_number": "405-795-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAKER",
        "first_name": "ALLEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "20735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100060090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okc, OK

Sources for this page

Verify at the official NPI Registry.