Active NPI
Pulmonology Associates of Enid
- Pulmonary Disease Physician
- Enid, OK
National Provider Identifier
1477721975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200200250A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI 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.