Active NPI
Eric J Neller, M.D.
- Anesthesiology Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 24460
- Practice address
- 1800 Renaissance Blvd
Edmond, OK 73013-3023 - Phone
- (405) 359-2400
- NPI assigned
- Feb 5, 2007
- Last updated
- Oct 17, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24460 | OK | Primary |
Addresses
Primary practice location
1800 Renaissance Blvd
Edmond, OK 73013-3023
Mailing address
608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069
Phone (405) 272-9641
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone (405) 359-2400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24460 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newman Memorial Hospital, Inc | Current | Accepting new patients | |
| Orthomed Staffing LLC | Anesthesiology | Current | Accepting new patients |
| Great Plains Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Scheduling Services PC | Anesthesiology | Current | Accepting new patients |
| Newman Memorial Hospital, Inc | Current | Accepting new patients | |
| Midtown Anesthesia Consultants PLLC | Anesthesiology | Current | Accepting new patients |
| Group LLC | Anesthesiology | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Locations
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
901 12th Ave NW
Ardmore, OK 73401
Phone (580) 220-6560
1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400
3840 S Boulevard
Edmond, OK 73013
Phone (405) 232-8696
3840 S Boulevard
Ste 103
Edmond, OK 73013
Phone (405) 455-3937
1000 N Lincoln Blvd
Ste 1
Oklahoma City, OK 73104
Phone (405) 232-8696
14000 N Portland Ave
Ste 100
Oklahoma City, OK 73134
Phone (405) 936-8100
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
3300 NW Expressway St
Fl 2
Oklahoma City, OK 73112
Phone (405) 251-2815
608 NW 9th St
Ste 6210
Oklahoma City, OK 73102
Phone (405) 272-9641
8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500
905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1285601187
-
- Anesthesiology Physician
- Ardmore, OK
- NPI 1285020362
-
- Critical Access Hospital
- Shattuck, OK
- NPI 1083617807
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1639192586
-
dba Newman Healthcare Associates Mooreland
- Clinic/Center
- Mooreland, OK
- NPI 1497639181
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1467591958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 NW 9TH ST STE 6210",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021069",
"telephone_number": "405-272-9641",
"fax_number": "405-235-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 RENAISSANCE BLVD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133023",
"telephone_number": "405-359-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELLER",
"first_name": "ERIC",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "24460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.