Individual provider Active NPI

Joe R Hamill, M.D.

  • Internal Medicine Physician
  • Ardmore, OK
National Provider Identifier
1326059734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10185 Issued in OK
Practice address
207 C St NW
Ardmore, OK 73401-6216
Phone
(580) 223-0655
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10185 OK Primary

Addresses

Primary practice location

207 C St NW
Ardmore, OK 73401-6216

Mailing address

207 C St NW
Ardmore, OK 73401-6216
Phone (580) 223-0655

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140327001013 OK Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 9133105067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10185OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Timbers Hospice, Inc Past Accepting new patients
Medical Arts Clinic of Ardmore Inc Internal Medicine PastSince Dec 1, 1978 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cross Timbers HospiceArdmore, OK, CCN 371547 Hospice W-2 Managing Employee
Operational/Managerial Control
Aug 26, 2004
Aug 26, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326059734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 C ST NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016216",
            "telephone_number": "580-223-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 C ST NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016216",
            "telephone_number": "580-223-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILL",
        "first_name": "JOE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "10185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.