Organization Active NPI

Pulmonology Associates of Enid

  • Pulmonary Disease Physician
  • Enid, OK
National Provider Identifier
1477721975
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONOLOGY ASSOCIATES OF ENID
Practice address
401 E Oklahoma Ave
Suite a
Enid, OK 73701-5800
Phone
(580) 234-5155
Fax
(580) 234-5511
NPI assigned
Feb 19, 2008
Last updated
Mar 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Jeffrey M Brown
Title
VP Physician Regional Pract MGMT
Phone
(580) 548-1367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

401 E Oklahoma Ave
Suite a
Enid, OK 73701-5800

Mailing address

Dept 960333
Oklahoma City, OK 73196-0333
Phone (580) 548-1367

Other identifiers 1

IdentifierTypeStateIssuer
200200250AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1477721975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 960333",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960333",
            "telephone_number": "580-548-1367",
            "fax_number": "580-548-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E OKLAHOMA AVE",
            "address_2": "SUITE A",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015800",
            "telephone_number": "580-234-5155",
            "fax_number": "580-234-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONOLOGY ASSOCIATES OF ENID",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP PHYSICIAN REGIONAL PRACT MGMT",
        "authorized_official_telephone_number": "580-548-1367"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200200250A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.