Active NPI
George Passion Queja, MD
- Surgery Physician
- Hugo, OK
National Provider Identifier
1427049865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 14309
- Practice address
- 1201 E Jackson St
Hugo, OK 74743 - Phone
- (580) 326-6423
- Fax
- (580) 326-3660
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 14309 | OK | Primary |
| Surgery Physician | 208600000X | G 6598 | TX |
Addresses
Primary practice location
1201 E Jackson St
Hugo, OK 74743
Mailing address
PO Box 876
Antlers, OK 74523-2636
Phone (580) 298-3351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10008770D | Medicaid | OK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G 6598 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R E F M Emergency Services | 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.
-
- Emergency Care Clinic/Center
- Hugo, OK
- NPI 1194716530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1427049865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 876",
"city": "ANTLERS",
"state": "OK",
"postal_code": "745232636",
"telephone_number": "580-298-3351",
"fax_number": "580-298-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E JACKSON ST",
"city": "HUGO",
"state": "OK",
"postal_code": "74743",
"telephone_number": "580-326-6423",
"fax_number": "580-326-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEJA",
"first_name": "GEORGE",
"middle_name": "PASSION",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "14309",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G 6598",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10008770D",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hugo, OK
- Providence Service Corp
- Providence Service Corporation of Oklahoma
- Providence Service Corporation of Oklahoma (Providence of Oklahoma)
- Patricia Ann Pugh
- Purify Dental of Hugo PLLC (New Image Dental of Hugo)
- R E F M Emergency Services
- Red River Counseling Center, LLC
- Christy Regalado, LMT
- Restore Family Medical Clinic II (Restore Family Medical Clinic)
- Demetric Rhone
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.