Active NPI
Carmen B Bird Pico, MD
- Internal Medicine Physician
- Anadarko, OK
National Provider Identifier
1396184875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18757
- Practice address
- 404 SE 11TH St
Anadarko, OK 73005-4442 - Phone
- (405) 247-7346
- Fax
- (405) 247-7565
- NPI assigned
- Jun 18, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18757 | OK | Primary |
Addresses
Primary practice location
404 SE 11TH St
Anadarko, OK 73005-4442
Mailing address
404 SE 11TH St
Anadarko, OK 73005-4442
Phone (405) 247-7364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18757 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juan a. Maldonado MD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Anadarko, OK
- NPI 1972819225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1396184875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 SE 11TH ST",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730054442",
"telephone_number": "405-247-7364",
"fax_number": "405-247-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 SE 11TH ST",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730054442",
"telephone_number": "405-247-7346",
"fax_number": "405-247-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD PICO",
"first_name": "CARMEN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "18757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anadarko, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.