NPIMap

Individual provider Active NPI

Kent Thomas King, M.D.

  • Family Medicine Physician
  • Pauls Valley, OK
National Provider Identifier
1508832205
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OK16153 Issued in OK
Practice address
200 Melville Dr
Pauls Valley, OK 73075-6609
Phone
(405) 238-5555
Fax
(405) 238-6348
NPI assigned
Feb 23, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 OK16153 OK Primary

Addresses

Primary practice location

200 Melville Dr
Pauls Valley, OK 73075-6609

Mailing address

200 Melville Dr
Pauls Valley, OK 73075-6609
Phone (405) 238-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090501000263 OK Practitioner - Emergency MedicinePractitioner - Family Practice 2769530708 Reassigns benefits to 4 organizations
I20260324000029 AR Practitioner - Family Practice 2769530708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Izard Regional Hospital LLCGroup PAC ID 6709259674, shared by 5 NPIs, 9 clinicians

Practice addresses (Care Compare)

421 Medical Dr
Guymon, OK 73942-3640
Phone (580) 338-6515

520 Medical Dr
Guymon, OK 73942-4438
Phone (580) 338-6515

61 Grasse St
Calico Rock, AR 72519-7013
Phone (870) 297-3726

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OK16153OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okeene Municipal Hospital and Schallmo Authority CurrentSince Sep 24, 2019 Accepting new patients
Memorial Hospital of Texas County Authority CurrentSince Aug 17, 2019 Accepting new patients
Okeene Municipal Hospital and Schallmo Authority CurrentSince Sep 24, 2019 Accepting new patients
Okeene Municipal Hospital and Schallmo Authority Current Accepting new patients
Choctaw County City of Hugo Hospital Authority CurrentSince Apr 14, 2022 Accepting new patients
Memorial Hospital of Texas County Authority CurrentSince Aug 17, 2019 Accepting new patients

Locations

421 Medical Dr
Guymon, OK 73942
Phone (580) 338-3135

520 Medical Dr
Guymon, OK 73942
Phone (580) 338-3113

1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500

1405 E Kirk St
Ste B
Hugo, OK 74743
Phone (580) 326-6111

207 E F St
Okeene, OK 73763
Phone (580) 822-4321

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 5

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508832205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MELVILLE DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756609",
            "telephone_number": "405-238-5555",
            "fax_number": "405-238-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MELVILLE DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756609",
            "telephone_number": "405-238-5555",
            "fax_number": "405-238-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KENT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "OK16153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

Verify at the official NPI Registry.