Individual provider Active NPI

Sean Reid, MD

  • Obstetrics & Gynecology Physician
  • Ponca City, OK
National Provider Identifier
1538517842
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32405 Issued in OK
Practice address
1908 N 14TH St Ste 202B
Ponca City, OK 74601-2039
Phone
(580) 713-4501
Fax
(580) 718-4581
NPI assigned
May 26, 2016
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 32405 OK Primary

Addresses

Primary practice location

1908 N 14TH St Ste 202B
Ponca City, OK 74601-2039

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (580) 718-4501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119001188 OK Practitioner - Obstetrics/Gynecology 1759669633 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Systems LLC CurrentSince Aug 1, 2022 Accepting new patients
Stillwater Medical Center Authority CurrentSince Aug 18, 2020 Accepting new patients
Stillwater Medical Center Authority Obstetrics & Gynecology CurrentSince Aug 18, 2020 Accepting new patients
Integris Ambulatory Care Corporation Obstetrics & Gynecology CurrentSince Aug 5, 2024 Accepting new patients
Integris Health Ponca City Hospital Inc Past Accepting new patients

Locations

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

119 Patton Dr
Ponca City, OK 74601
Phone (580) 576-4100

2703 N 14th St
Ponca City, OK 74601
Phone (580) 749-7846

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1411 W 7th Ave
Stillwater, OK 74074
Phone (405) 624-8222

1411 W 7th Ave
Ste 202
Stillwater, OK 74074
Phone (405) 624-8222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21021/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sean.reid.1@21021.direct.athenahealth.com
  • Direct secure messaging: sreid489537@direct.integrisok.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1538517842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "580-718-4501",
            "fax_number": "580-718-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N 14TH ST STE 202B",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012039",
            "telephone_number": "580-713-4501",
            "fax_number": "580-718-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "32405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.