Active NPI
Mark Wayne Newey, D.O.
- Family Medicine Physician
- Healdton, OK
National Provider Identifier
1366496648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2185
- Practice address
- 628 4TH Street
Healdton, OK 73438 - Phone
- (580) 229-2333
- Fax
- (580) 229-0924
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2185 | OK | Primary |
Addresses
Primary practice location
628 4TH Street
Healdton, OK 73438
Mailing address
PO Box 905
Healdton, OK 73438-0905
Phone (580) 229-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100095690B | Medicaid | OK |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040429000289 | OK | Practitioner - Family Practice | 0547257750 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2185 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Healdton, Inc. | Current | Accepting new patients | |
| Mercy Hospital Healdton, Inc | Single Specialty | Current | Accepting new patients |
| Mercy Hospital Healdton, Inc. | Current | Accepting new patients | |
| Healdton Municipal Hospital (SNF) | Single Specialty | Past | Accepting new patients |
Locations
3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Healdton, OK
- NPI 1568615656
OK, Single Specialty
-
- Rural Health Clinic/Center
- Healdton, OK
- NPI 1437467388
-
- Medicare Defined Swing Bed Hospital Unit
- Healdton, OK
- NPI 1437169489
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1366496648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"city": "HEALDTON",
"state": "OK",
"postal_code": "734380905",
"telephone_number": "580-229-2333",
"fax_number": "580-229-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 4TH STREET",
"city": "HEALDTON",
"state": "OK",
"postal_code": "73438",
"telephone_number": "580-229-2333",
"fax_number": "580-229-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWEY",
"first_name": "MARK",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "2185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100095690B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Healdton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.