Nes Oklahoma, Inc.

Organization Active NPI Emergency Medicine Physician · Ponca City, OK

NPI 1528040722 · NPPES record last updated Jul 9, 2026

Key facts

NPI
1528040722
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
NES OKLAHOMA, INC.
Practice address
1900 N 14TH St
Ponca City, OK 74601-2035
Phone
(580) 765-3321
NPI assigned
Nov 15, 2005
Organization subpart
No

Authorized official

Name
Matt Teter
Title
Corporate Secretary
Phone
(833) 507-7972

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 144

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 144

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040726000516 OK Part B Supplier - Clinic/Group Practice 1456264324 Receives reassigned benefits from 144 practitioners
1 other NPI on this enrollment
Practice locations: Durant, OK; Ponca City, OK; Madill, OK; Enid, OK

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

1900 N 14TH St
Ponca City, OK 74601-2035

Mailing address

7300 State Highway 121 Ste 370-374
McKinney, TX 75070-1987
Phone (469) 557-6183

Other practice location 1

1800 W University Blvd
Durant, OK 74701-3006
Phone (580) 924-3080

Other practice location 2

901 S 5th Ave
Madill, OK 73446-3640
Phone (580) 795-3384

Other identifiers

IdentifierTypeStateIssuer
200008720AMedicaidOK

Other providers in Ponca City, OK

All providers in Ponca City, OK · Emergency Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.