Layne Evan Subera, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3385 Issued in OK

Practice address

201 E 2ND St
Skiatook, OK 74070-1211

Phone

(918) 396-1262

Fax

(918) 396-4598

NPI assigned

Jul 22, 2006

Last updated

Dec 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Addiction Medicine, Osteopathic Manipulative Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sdo Group LLCGroup PAC ID 3072810738, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring XXV Home health agency, Tulsa, OK, CCN 377667
• Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228
• Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: layne.subera@385782215999492.direct.elationemr.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sdo Group LLC

  dba Skiatook Family Clinic

  • Rural Health Clinic/Center
  • Skiatook, OK
  • NPI 1811366032

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Sdo Group LLC

  dba Skiatook Family Clinic

  • Rural Health Clinic/Center
  • Skiatook, OK
  • NPI 1811366032

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• The Center for Therapeutic Interventions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bartlesville, OK
  • NPI 1831439066
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bailey Medical Center, LLC

  • General Acute Care Hospital
  • Owasso, OK
  • NPI 1205846037
  Care Compare affiliation
• Indian Territory Home Health & Hospice III, LLC

  dba Elara Caring XXV

  • Home Health Agency
  • Tulsa, OK
  • NPI 1437164969
  Care Compare affiliation
• Jane Phillips Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Bartlesville, OK
  • NPI 1215914254
  Care Compare affiliation
• Jane Phillips Memorial Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Bartlesville, OK
  • NPI 1427428986
  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1568483758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740700428",
            "telephone_number": "918-396-1262",
            "fax_number": "918-396-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 2ND ST",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740701211",
            "telephone_number": "918-396-1262",
            "fax_number": "918-396-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBERA",
        "first_name": "LAYNE",
        "middle_name": "EVAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste St. Gemme, DPT
• Stepping Stone Pediatric Therapy
• Samuel David Stewart, DPT
• Micaiah Grace Stowe
• Amber Stultz, PTA
• Elizabeth Eva Taylor
• Alexandra Teel, DNP, APRN-CNP
• Top Knot Surgical Assisting
• Topknot Surgical Assisting LLC
• Tiffany Sybille Turner, M.S., CCC-SLP

• Family Medicine Physician in Skiatook, OK
• Providers in Skiatook, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.