Individual provider Active NPI

Philip Nathan Mayer, NP-C

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1346550316
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
82696 Issued in OK
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

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
82696OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital LLC Current Accepting new patients
Emergency Physicians of Mid-America, P.C. Nurse Practitioner CurrentSince Dec 1, 2014 Accepting new patients
Community Hospital LLC CurrentSince Jan 19, 2022 Accepting new patients
Discovery Medical Diagnostic Group, LLC CurrentSince Jul 17, 2021 Accepting new patients
TPG Hospital LLC Current Accepting new patients
Saints Medical Group, LLC CurrentSince May 1, 2015 Accepting new patients
Oklahoma Emergency Services PC Nurse Practitioner CurrentSince Mar 18, 2012 Accepting new patients
Saints Medical Group, LLC CurrentSince May 1, 2015 Accepting new patients
TPG Hospital LLC CurrentSince Jan 19, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.