Active NPI
Derek F Norcom, MD
- Family Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43670
- Practice address
- 7313 S Western Ave
Oklahoma City, OK 73139-2007 - Phone
- (405) 251-8884
- NPI assigned
- Jun 6, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD21044 | OR | |
| Family Medicine Physician | 207Q00000X | 67415 | TN | |
| Family Medicine Physician | 207Q00000X | 43670 | OK | Primary |
Addresses
Primary practice location
7313 S Western Ave
Oklahoma City, OK 73139-2007
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (629) 224-1621
Other practice location 1
3904 Gallatin Pike
Nashville, TN 37216-2406
Phone (615) 227-3000
Other practice location 2
601 W Due West Ave
Madison, TN 37115-4423
Phone (615) 227-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151180 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21044 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Professional Services of Oklahoma, LLC | Current | Accepting new patients | |
| NGX Lawrenceville Ga PC | Current | Accepting new patients |
Locations
1470 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (678) 486-7777
7313 S Western Ave
Oklahoma City, OK 73139
Phone (405) 251-8884
3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- derek.norcommd.p1@direct.neighborhoodhealthtn.nextgenshare.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1457934895
-
- Physical Medicine & Rehabilitation Physician
- Lawrenceville, GA
- NPI 1730804642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1326087263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "629-224-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7313 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731392007",
"telephone_number": "405-251-8884"
}
],
"practiceLocations": [
{
"address_1": "3904 Gallatin Pike",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372162406",
"country_code": "US",
"telephone_number": "615-227-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W Due West Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "TN",
"postal_code": "371154423",
"country_code": "US",
"telephone_number": "615-227-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORCOM",
"first_name": "DEREK",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD21044",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "67415",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "43670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151180",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.