NPIMap

Organization Active NPI

Nes Oklahoma, Inc.

  • Emergency Medicine Physician
  • Ponca City, OK
National Provider Identifier
1528040722
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 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
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

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 (833) 507-7972

Other practice location 1

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

Other practice location 2

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

Other identifiers 1

IdentifierTypeStateIssuer
200008720AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

105 Wall St
Poteau, OK 74953
Phone (918) 635-3100

Practitioners & affiliated clinicians

Practitioners 144

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 144

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1528040722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 STATE HIGHWAY 121 STE 370-374",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701987",
            "telephone_number": "833-507-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012035",
            "telephone_number": "580-765-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Madill",
            "state": "OK",
            "postal_code": "734463640",
            "country_code": "US",
            "telephone_number": "580-795-3384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013006",
            "country_code": "US",
            "telephone_number": "580-924-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NES OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "TETER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "833-507-7972"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200008720A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.