Individual provider Active NPI

Rodney O McCrory, D.O.

  • General Practice Physician
  • Shawnee, OK
National Provider Identifier
1407815368
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2750 Issued in OK
Practice address
2400 N Harrison St
Shawnee, OK 74804-3133
Phone
(405) 395-4441
Fax
(405) 438-0540
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2750 OK Primary

Addresses

Primary practice location

2400 N Harrison St
Shawnee, OK 74804-3133

Mailing address

2400 N Harrison St
Shawnee, OK 74804-3133
Phone (405) 395-4441

Other identifiers 1

IdentifierTypeStateIssuer
100134170AMedicaidOK

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
I20100420000130 OK Practitioner - Family Practice 6406867753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simpson and McCroryGroup PAC ID 9436566007, 3 clinicians

Practice addresses (Care Compare)

2400 N Harrison St
Shawnee, OK 74804-3133
Phone (405) 395-4441

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • Holdenville General Hospital Hospital, Holdenville, OK, CCN 371321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2750OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Classen Urgent Care Clinic LLC CurrentSince Oct 24, 2011 Accepting new patients
Simpson and McCrory CurrentSince Mar 1, 2021 Accepting new patients
Classen Urgent Care Clinic LLC CurrentSince Oct 24, 2011 Accepting new patients
Classen Family Practice LLC CurrentSince Feb 14, 2013 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1025 SW 4th St
Ste 101
Moore, OK 73160
Phone (405) 378-2001

1015 SW 4th St
Moore, OK 73160
Phone (405) 378-2001

2824 Classen Blvd
Norman, OK 73071
Phone (405) 701-3563

2818 Classen Blvd
Norman, OK 73071
Phone (405) 701-7111

2824 Classen Blvd
#100
Norman, OK 73071
Phone (405) 701-3563

2400 N Harrison St
Shawnee, OK 74804
Phone (405) 395-4441

Interoperability endpoints

  • Direct secure messaging: r.mccrory@cfp-ok.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 2

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1407815368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043133",
            "telephone_number": "405-395-4441",
            "fax_number": "405-438-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043133",
            "telephone_number": "405-395-4441",
            "fax_number": "405-438-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRORY",
        "first_name": "RODNEY",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "2750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100134170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.