Active NPI
Ardry Lance Yarbrough, MD
- Family Medicine Physician
- Atoka, OK
National Provider Identifier
1386669745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22046
- Practice address
- 1504 S Virginia Ave
Atoka, OK 74525-3246 - Phone
- (580) 889-4746
- Fax
- (580) 889-4735
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 22046 | OK | Primary |
Addresses
Primary practice location
1504 S Virginia Ave
Atoka, OK 74525-3246
Mailing address
1504 S Virginia Ave
Atoka, OK 74525-3246
Phone (580) 889-4746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100130780A | 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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1590 W Liberty Rd
Atoka, OK 74525-1701
Phone (903) 821-5108
Hospital & facility affiliations
- A Path of Care Tendercare Home Health
- Victory Home Health, LLC
- Centric Home Health
- Atoka County Medical Center
- Coal County General Hospital, Inc.
- Texoma Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22046 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrus Care Physicians Group Inc. | Current | Accepting new patients | |
| Atoka County Healthcare Authority | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Roger Mills County Hospital Authority | Past | Accepting new patients | |
| Roger Mills County Hospital Authority | Family Medicine | Past | Accepting new patients |
Locations
1590 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-3333
700 W 7th Ave
Bristow, OK 74010
Phone (918) 367-2215
700 W 7th Ave
Ste 6
Bristow, OK 74010
Phone (918) 367-2215
1810 W US Highway 82
Sherman, TX 75092
Phone (903) 870-2600
Organizations & group practices 5
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
- Atoka, OK
- NPI 1508896499
-
- Ambulance
- Cheyenne, OK
- NPI 1073763736
-
- Family Medicine Physician
- Cheyenne, OK
- NPI 1760583942
Family Medicine
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Coalgate, OK
- NPI 1104257534
-
- Home Health Agency
- Durant, OK
- NPI 1407202740
-
- Home Health Agency
- Tishomingo, OK
- NPI 1326026014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1386669745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 S VIRGINIA AVE",
"city": "ATOKA",
"state": "OK",
"postal_code": "745253246",
"telephone_number": "580-889-4746",
"fax_number": "580-889-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 S VIRGINIA AVE",
"city": "ATOKA",
"state": "OK",
"postal_code": "745253246",
"telephone_number": "580-889-4746",
"fax_number": "580-889-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBROUGH",
"first_name": "ARDRY",
"middle_name": "LANCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "22046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100130780A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.