Individual provider Active NPI

John Price, M.D.

  • Emergency Medicine Physician
  • Enid, OK
National Provider Identifier
1376560904
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16520 Issued in OK
Practice address
305 S 5TH St
Enid, OK 73701-5832
Phone
(580) 233-6100
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16520 OK Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225001132 OK Practitioner - Family PracticePractitioner - Emergency Medicine 6002702040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 AuthorityGroup PAC ID 4183943186, shared by 4 NPIs, 4 clinicians

Practice addresses (Care Compare)

523 E State Rd
Fairview, OK 73737-1453
Phone (580) 227-3721

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Regional Medical Center Authority CurrentSince Sep 8, 2015 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 CurrentSince Sep 8, 2015 Accepting new patients
Summit Medical Center Past Accepting new patients
Fairview Fellowship Home for Senior Citizens, Inc. Past Accepting new patients

Locations

519 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

523 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

Interoperability endpoints

  • Direct secure messaging: jprice148501@direct-ehr-ssmhc.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376560904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 N LINCOLN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031607",
            "telephone_number": "580-242-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S 5TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015832",
            "telephone_number": "580-233-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "16520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.