Individual provider Active NPI

Ralph Josef Nelson, D.O.

  • Family Medicine Physician
  • Norman, OK
National Provider Identifier
1447258264
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4106 Issued in OK
Practice address
3400 W Tecumseh Rd
Suite 100
Norman, OK 73072-1810
Phone
(405) 307-6900
Fax
(405) 307-6906
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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 4106 OK Primary

Addresses

Primary practice location

3400 W Tecumseh Rd
Suite 100
Norman, OK 73072-1810

Mailing address

5701 SE 74TH St
Suite E
Oklahoma City, OK 73135-1106
Phone (405) 600-6869

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
I20041108000584 OK Practitioner - Emergency MedicinePractitioner - Family Practice 7618930975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians

Practice addresses (Care Compare)

11808 S May Ave
Oklahoma City, OK 73170-2560
Phone (405) 735-2370

3321 W Tecumseh Rd
Suite 125
Norman, OK 73072-1857
Phone (405) 307-6900

3400 W Tecumseh Rd
Suite 100
Norman, OK 73072-1810
Phone (405) 307-6900

800 24TH Ave NW
Norman, OK 73069-6314
Phone (405) 321-7100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4106OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Emergency Services PC CurrentSince Jan 1, 2011 Accepting new patients
Immediate Care of Oklahoma LLC CurrentSince Aug 1, 2008 Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Jan 1, 2011 Accepting new patients
Immediate Care of Oklahoma CurrentSince Aug 1, 2008 Accepting new patients
Norman Minor Emergency of NRH Family Medicine Past Accepting new patients

Locations

805 W Covell Rd
Edmond, OK 73003
Phone (405) 820-4024

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

3321 W Tecumseh Rd
Ste 125
Norman, OK 73072
Phone (405) 307-6900

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

800 24th Ave NW
Norman, OK 73069
Phone (405) 321-7100

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370

5701 SE 74th St
Ste E
Oklahoma City, OK 73135

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

5700 SE 74th St
Ste 100
Oklahoma City, OK 73135
Phone (405) 400-1096

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1447258264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SE 74TH ST",
            "address_2": "SUITE E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351106",
            "telephone_number": "405-600-6869",
            "fax_number": "405-600-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD",
            "address_2": "SUITE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-307-6900",
            "fax_number": "405-307-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RALPH",
        "middle_name": "JOSEF",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.