Kent Thomas King, M.D.

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

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Hospital of Texas County Authority

  • Critical Access Hospital
  • Guymon, OK
  • NPI 1144205360
  Medicare reassignment Care Compare group NPD OK
• Izard Regional Hospital LLC

  • Multi-Specialty Clinic/Center
  • Calico Rock, AR
  • NPI 1619697919
  Medicare reassignment Care Compare group AR
• Izard Regional Hospital LLC

  • Critical Access Hospital
  • Calico Rock, AR
  • NPI 1871221176
  Medicare reassignment Care Compare group AR
• Choctaw County City of Hugo Hospital Authority

  • Rural Acute Care Hospital
  • Hugo, OK
  • NPI 1881689289
  Medicare reassignment NPD OK
• Okeene Municipal Hospital and Schallmo Authority

  • Primary Care Clinic/Center
  • Okeene, OK
  • NPI 1053478024
  Medicare reassignment NPD OK
• Okeene Municipal Hospital and Schallmo Authority

  • Medicare Defined Swing Bed Hospital Unit
  • Okeene, OK
  • NPI 1396832804
  Medicare reassignment NPD OK
• Izard Regional Hospital LLC

  • Rural Health Clinic/Center
  • Calico Rock, AR
  • NPI 1841928140
  Care Compare group
• Izard Regional Hospital, LLC

  • Rural Health Clinic/Center
  • Norfork, AR
  • NPI 1275354169
  Care Compare group
• Izard Regional Hospital, LLC

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1568249704
  Care Compare group
• Memorial Hospital of Texas County Authority

  • Orthopaedic Surgery Physician
  • Guymon, OK
  • NPI 1992009039
  NPD
• Okeene Municipal Hospital and Schallmo Authority

  • Critical Access Hospital
  • Okeene, OK
  • NPI 1336142033
  NPD

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

• Choctaw County City of Hugo Hospital Authority

  • Rural Acute Care Hospital
  • Hugo, OK
  • NPI 1881689289
  Care Compare affiliation Hospital
• Memorial Hospital of Texas County Authority

  • Critical Access Hospital
  • Guymon, OK
  • NPI 1144205360
  Care Compare affiliation Hospital
• Pawhuska Hospital, Inc.

  • Critical Access Hospital
  • Pawhuska, OK
  • NPI 1174521991
  Care Compare affiliation Hospital
• Dewitt Hospital & Nursing Home, Inc.

  • Rural Acute Care Hospital
  • De Witt, AR
  • NPI 1972586238
  Care Compare affiliation Hospital
• Izard Regional Hospital LLC

  • Critical Access Hospital
  • Calico Rock, AR
  • NPI 1871221176
  Care Compare affiliation Hospital

Specialty

Emergency Medicine

Education

University of Oklahoma College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hospital of Texas County Authority 10 clinicians

Izard Regional Hospital LLC 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Izard Regional Hospital LLC Hospital, Calico Rock, AR, CCN 041306
• Memorial Hospital of Texas County Authority Hospital, Guymon, OK, CCN 371340
• Choctaw Memorial Hospital Hospital, Hugo, OK, CCN 370100
• Dewitt Hospital & Nursing Home, Inc Hospital, De Witt, AR, CCN 040783
• Pawhuska Hospital, Inc Hospital, Pawhuska, OK, CCN 371309

Medicare fee-for-service enrollment

Enrolled in OK, AR2 enrollments

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.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102220A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE LICENSE",
            "identifier": "OK16153",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Lee Justice, DPH
• Sara Justice, D.PH
• Jasmine Kai
• Emilea Keeton, PTA
• Leeanna Kile
• Kathryn Elizabeth Kubiak, OD
• Geoffrey Ku Lau, PT, DPT
• Mattea Leann Lavin, DNP, APRN, FNP-C
• Julia Hensley Leadford, S.L.P.
• Legacy Drug

• All providers in Pauls Valley, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.