Medicus

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS126 Issued in OK

Legal business name

MEDICUS

Practice address

900 N. Harvey
Suite a
Seminole, OK 74868

Phone

(405) 382-1314

Fax

(405) 303-2328

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bryant D. Baker

Title

Fire Chief

Phone

(405) 382-2454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seminole Fire - Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1508922295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N. HARVEY",
            "address_2": "SUITE A",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "74868",
            "telephone_number": "405-382-1314",
            "fax_number": "405-303-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N. HARVEY",
            "address_2": "SUITE A",
            "city": "SEMINOLE",
            "state": "OK",
            "postal_code": "74868",
            "telephone_number": "405-382-1314",
            "fax_number": "405-303-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "405-382-2454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100820000A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole Fire - Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Faye Lorey, BA
• Nina Dee Maas, PTA
• Alicia Michelle Massay
• Deborah May, SLPA
• Bryan L McRay, OD
• Mental Health Services of Southern Oklahoma
• Audrey Annalise Messner
• Midwest City Hma Physician Management, LLC
• Kimberly Dakota Miller
• Melanie June Mize

• All providers in Seminole, OK
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.