Active NPI
Philip Nathan Mayer, NP-C
- Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 82696
- Practice address
- 1000 N Lee Ave
Oklahoma City, OK 73102-1036 - Phone
- (405) 272-6155
- NPI assigned
- Oct 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 82696 | OK | |
| Nurse Practitioner | 363L00000X | 82696 | OK | Primary |
Addresses
Primary practice location
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Mailing address
2900 S Telephone Rd
Moore, OK 73160-2968
Phone (405) 237-7500
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110401000535 | OK | Practitioner - Nurse Practitioner | 4486838281 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82696 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital LLC | Current | Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Community Hospital LLC | Current | Accepting new patients | |
| Discovery Medical Diagnostic Group, LLC | Current | Accepting new patients | |
| TPG Hospital LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Oklahoma Emergency Services PC | Nurse Practitioner | Current | Accepting new patients |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| TPG Hospital LLC | Current | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Past | Accepting new patients |
Locations
3333 Territory Ln
El Reno, OK 73036
Phone (405) 252-3560
2900 S Telephone Rd
Moore, OK 73160
Phone (405) 225-0470
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
100 W Main St
Ste 200
Oklahoma City, OK 73102
Phone (405) 815-5060
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
9204 N May Ave
Oklahoma City, OK 73120
Phone (405) 840-3488
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
4651 N Harrison St
Shawnee, OK 74804
Phone (405) 214-5100
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
Interoperability endpoints
- pmayer46083@direct-ehr-ssmhc.com
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
Nurse Practitioner, OK
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1114239795
Nurse Practitioner, OK
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1730366832
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1194902296
-
- Multi-Specialty Clinic/Center
- Katy, TX
- NPI 1578953014
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1346550316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S TELEPHONE RD",
"city": "MOORE",
"state": "OK",
"postal_code": "731602968",
"telephone_number": "405-237-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N LEE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021036",
"telephone_number": "405-272-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "PHILIP",
"middle_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-08",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "82696",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "82696",
"primary": true
}
],
"identifiers": [],
"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 Mar 20, 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.