John Price, M.D.
Individual provider Active NPI Emergency Medicine Physician · Enid, OK
NPI 1376560904 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376560904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 16520 (OK)
- Practice address
- 305 S 5TH St
Enid, OK 73701-5832 - Phone
- (580) 233-6100
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Regional Medical Center Authority
Practice addresses (Care Compare)
523 E State Rd
Fairview, OK 73737-1453
Phone (580) 227-3721
Hospital & facility affiliations
- Complete Home Health of Western Oklahoma
- Complete Hospice Care of Oklahoma City
- Fairview Regional Medical Center Authority
- St Mary'S Regional Medical Center
- Integris Health Enid Hospital
- Fairview Fellowship Home For Senior Citizens, Inc
- Fairview Regional Medical Center Authority
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040225001132 | OK | Practitioner - Family Practice |
6002702040 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16520 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Regional Medical Center Authority | Current | Accepting new patients | |
| Fairview Regional Medical Center Authority | Current |
Accepting new patients | |
| Fairview Regional Medical Center Authority | Current | Accepting new patients | |
| Fairview Regional Medical Center Authority | Current |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Fairview Fellowship Home for Senior Citizens, Inc. | Past | Accepting new patients |
Locations
523 E State Rd
Fairview, OK 73737
Phone (580) 227-1334
519 E State Rd
Fairview, OK 73737
Phone (580) 227-1334
605 E State Rd
Fairview, OK 73737
Phone (580) 227-3783
Interoperability endpoints
- jprice148501@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 16520 | OK | Yes |
Addresses
Primary practice location
305 S 5TH St
Enid, OK 73701-5832
Mailing address
3404 N Lincoln St
Enid, OK 73703-1607
Phone (580) 242-1405
Other providers in Enid, OK
- Cindy Marie Powers
- Premier Eyecare of Enid PLLC
- Premise Health of Oklahoma Medical PC
- Linda F Presa
- Dared Price
- William Brent Price
- Mazzy Renee Priest
- Primed Healthcare LLC
- Xavier Taneil Prince
- Amy Lou Prokopis
All providers in Enid, OK · Emergency Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.