NPIMap

Organization Active NPI

Digestive Disease Specialists Inc

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1366489213
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE DISEASE SPECIALISTS INC
Practice address
5015 N Pennsylvania Ave
Ste. 303
Oklahoma City, OK 73112-8891
Phone
(405) 767-6630
Fax
(405) 767-1176
NPI assigned
Jun 1, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Mr. Bill R. Davis
Title
Administrator
Phone
(405) 767-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

5015 N Pennsylvania Ave
Ste. 303
Oklahoma City, OK 73112-8891

Mailing address

PO Box 7316
Edmond, OK 73083-7316
Phone (405) 767-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331001151 OK Part B Supplier - Clinic/Group Practice 7315939279 Receives reassigned benefits from 44 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

3366 N West Expy
Ste 400D
Oklahoma City, OK 73112

3366 NW Expressway
Ste 380
Oklahoma City, OK 73112
Phone (405) 702-1300

4200 W Memorial Rd
Ste 612
Oklahoma City, OK 73120
Phone (405) 749-4201

4811 Gaillardia Pkwy
Ste 200
Oklahoma City, OK 73142
Phone (405) 751-4199

701 Cedar Lake Blvd
Ste 301
Oklahoma City, OK 73114

8121 National Ave
Ste 330
Oklahoma City, OK 73110

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1366489213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7316",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730837316",
            "telephone_number": "405-767-6630",
            "fax_number": "405-767-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PENNSYLVANIA AVE",
            "address_2": "STE. 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128891",
            "telephone_number": "405-767-6630",
            "fax_number": "405-767-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-767-6630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "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 Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.