Individual provider Active NPI

Rick Lynn Visor, MD

  • Otolaryngology Physician
  • Oklahoma City, OK
National Provider Identifier
1487611570
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20577 Issued in OK
Practice address
4140 W Memorial Rd
Suite 115
Oklahoma City, OK 73120
Phone
(405) 755-6475
Fax
(405) 755-8370
NPI assigned
May 1, 2006
Last updated
Oct 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 20577 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd
Suite 115
Oklahoma City, OK 73120

Mailing address

4140 W Memorial Rd
Suite 115
Oklahoma City, OK 73120
Phone (405) 755-6475

Other identifiers 1

IdentifierTypeStateIssuer
100089740BMedicaidOK

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
I20040317000658 OK Practitioner - Otolaryngology 8527957174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Otolaryngology Associates LLCGroup PAC ID 9739136102, 15 clinicians

Practice addresses (Care Compare)

4140 W Memorial Rd
Suite 115
Oklahoma City, OK 73120-8300
Phone (405) 755-6475

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Otolaryngology Associates, LLC CurrentSince Nov 16, 2015 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Nov 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Surgical Specialists of Oklahoma Past Accepting new patients
Summit Medical Center Past Accepting new patients
Oklahoma Otolaryngology Hearing Center Inc Past Accepting new patients
Rick L Visor MD PC PastSince Jan 1, 2004 Accepting new patients
General Surgery Group, PLLC Past Accepting new patients

Locations

3101 Arlington St
#A
Ada, OK 74820
Phone (580) 436-2336

3650 W Rock Creek Rd
Norman, OK 73072
Phone (405) 364-2666

4140 W Memorial Rd
Ste 115
Oklahoma City, OK 73120
Phone (405) 755-1930

4200 W Memorial Rd
Ste 606
Oklahoma City, OK 73120
Phone (405) 755-1930

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1487611570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-755-6475",
            "fax_number": "405-755-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-755-6475",
            "fax_number": "405-755-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISOR",
        "first_name": "RICK",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "20577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089740B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.