Organization Active NPI

Scott M Proctor MD PC

  • Anesthesiology Physician
  • Norman, OK
National Provider Identifier
1609460328
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SCOTT M PROCTOR MD PC
Practice address
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone
(405) 313-9368
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Ronda Jill Proctor, RN
Title
Manager
Phone
(405) 834-1296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3300 Healthplex Pkwy
Norman, OK 73072-9749

Mailing address

6617 NE 113TH St
Edmond, OK 73013-8354
Phone (405) 834-1296

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1609460328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 NE 113TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138354",
            "telephone_number": "405-834-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HEALTHPLEX PKWY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729749",
            "telephone_number": "405-313-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M PROCTOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-834-1296",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.