Active NPI
Mark Edward Rigney, M.D.
- Family Medicine Physician
- Ponca City, OK
National Provider Identifier
1447253737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22078
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200011960A | Medicaid | OK | |
| 7029546 | Other | AETNA |
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
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 |
|---|---|---|---|
| 22078 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DSK Medical Group, PC | Current | 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
- 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.
-
- Clinic/Center
- Ponca City, OK
- NPI 1114292596
-
- Family Medicine Physician
- Shawnee, OK
- NPI 1245243252
-
- Primary Care Clinic/Center
- Stillwater, OK
- NPI 1932809738
-
- Family Medicine Physician
- Stroud, OK
- NPI 1205884145
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.