James Michael Rebik, D.O.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

3595 Issued in OK

Practice address

421 E. Hartford Ave.
Ponca City, OK 74601

Phone

(580) 718-4502

Fax

(580) 765-2123

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Otolaryngology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comanche County Healthcare CorporationGroup PAC ID 0749192433, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Health Hospital, Lawton, OK, CCN 370056

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.rebik@mmg.eclinicaldirectplus.com

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.

• Comanche County Healthcare Corporation

  • Public Health or Welfare Agency
  • Lawton, OK
  • NPI 1053352690
  Medicare reassignment Care Compare group NPD
• Comanche County Healthcare Corporation

  • Allergy & Immunology Physician
  • Lawton, OK
  • NPI 1013640846
  NPD
• Comanche County Healthcare Corporation

  • Hospitalist Physician
  • Lawton, OK
  • NPI 1871513804
  NPD
• Comanche County Healthcare

  • Surgery Physician
  • Lawton, OK
  • NPI 1285651232
  NPD (past)
• Comanche County Hospital Authority

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  NPD (past)
• Deaconess Physician Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
  • NPI 1750518601
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Jackson County Memorial Hospital Authority

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  NPD (past)
• Karen S. Adams M.D.

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1255528345
  NPD (past)

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

• Comanche County Hospital Authority

  • Land Ambulance
  • Walters, OK
  • NPI 1285181610

  Hospital

  Care Compare affiliation
• Comanche County Hospital Authority

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  Care Compare affiliation
• Comanche County Hospital Authority

  • Land Ambulance
  • Lawton, OK
  • NPI 1770525883

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1346246584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E. HARTFORD AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74601",
            "telephone_number": "580-718-4502",
            "fax_number": "580-765-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E. HARTFORD AVE.",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74601",
            "telephone_number": "580-718-4502",
            "fax_number": "580-765-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBIK",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "3595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICARE",
            "identifier": "300522256",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100175940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ranch Wellness Center LLC
• Chelsie Wray Rancier
• Desiree Ann Ray, MS LPC
• Somer Austin Ray, O.D.
• Seth Reams
• Gregory Wayne Reed, PH.D.
• Sean Reid, MD
• Renal Care Group of the Midwest Inc
• Renee P Young, Ms, LMFT, LLC
• Chelsea Nicole Rennie

• Otolaryngology Physician in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Otolaryngology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.