Active NPI
David R Powell, M.D.
- Obstetrics & Gynecology Physician
- Muskogee, OK
National Provider Identifier
1538176334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 15888
- Practice address
- 3401 W Broadway St
Muskogee, OK 74401-2136 - Phone
- (918) 687-5477
- Fax
- (918) 687-5481
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 15888 | OK | Primary |
Addresses
Primary practice location
3401 W Broadway St
Muskogee, OK 74401-2136
Mailing address
3401 W Broadway St
Muskogee, OK 74401-2136
Phone (918) 687-5477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100182690A | Medicaid | OK | |
| 100729650A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskogee Womens Clinic Inc | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
3401 W Broadway St
Muskogee, OK 74401
Phone (918) 687-5477
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1538176334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012136",
"telephone_number": "918-687-5477",
"fax_number": "918-681-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012136",
"telephone_number": "918-687-5477",
"fax_number": "918-687-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "15888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100182690A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100729650A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.