Individual provider Active NPI

Mark Edward Rigney, M.D.

  • Family Medicine Physician
  • Ponca City, OK
National Provider Identifier
1447253737
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22078 Issued in OK
Practice address
425 Fairview Ave Ste 1
Ponca City, OK 74601-1924
Phone
(580) 765-6647
Fax
(580) 765-6699
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22078 OK Primary

Addresses

Primary practice location

425 Fairview Ave Ste 1
Ponca City, OK 74601-1924

Mailing address

425 Fairview Ave Ste 1
Ponca City, OK 74601-1924
Phone (580) 765-6647

Other identifiers 2

IdentifierTypeStateIssuer
200011960AMedicaidOK
7029546OtherAETNA

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
I20040802001360 OK Practitioner - Family Practice 7911978283 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22078OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DSK Medical Group, PC CurrentSince Jul 8, 2012 Accepting new patients
TSG Physicians Group Family Medicine Past Accepting new patients
Triad Complete Healthcare A06 LLC Past Accepting new patients
Family Healthcare Associates PLLC Family Medicine Past Accepting new patients

Locations

400 Fairview Ave
Ste 20
Ponca City, OK 74601
Phone (580) 765-6647

425 Fairview Ave
Ste 1
Ponca City, OK 74601
Phone (580) 382-5770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5562/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1447253737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FAIRVIEW AVE STE 1",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011924",
            "telephone_number": "580-765-6647",
            "fax_number": "580-765-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FAIRVIEW AVE STE 1",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011924",
            "telephone_number": "580-765-6647",
            "fax_number": "580-765-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGNEY",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "22078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011960A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7029546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.