NPIMap

Individual provider Active NPI

Kimberly K Hanigar, M.D.

  • Family Medicine Physician
  • McLoud, OK
National Provider Identifier
1609858331
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18949 Issued in OK
Practice address
704 S 8TH St
McLoud, OK 74851-8633
Phone
(405) 964-6463
Fax
(405) 964-2412
NPI assigned
Nov 17, 2005
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18949 OK Primary

Addresses

Primary practice location

704 S 8TH St
McLoud, OK 74851-8633

Mailing address

704 S 8TH St
McLoud, OK 74851-8633
Phone (405) 964-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000214 OK Practitioner - Family Practice 3173412566 Reassigns benefits to 2 organizations
Practice locations: McLoud, OK

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

2749 Progressive Dr
Edmond, OK 73034-7649
Phone (405) 772-4130

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18949OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care of Oklahoma, Inc Current Accepting new patients
Saints Medical Group, LLC Family Medicine CurrentSince Apr 2, 2024 Accepting new patients
SSM Health Care of Oklahoma, Inc. Family Medicine CurrentSince Dec 1, 2012 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Dec 1, 2012 Accepting new patients
Saints Medical Group, LLC CurrentSince Apr 2, 2024 Accepting new patients
Kimberly K Hanigar Family Medicine PastSince Jan 1, 1990 Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

704 S 8th St
McLoud, OK 74851
Phone (405) 964-6463

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1900 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-2240

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Interoperability endpoints

  • Direct secure messaging: khanigar164498@direct-ehr-ssmhc.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1609858331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S 8TH ST",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518633",
            "telephone_number": "405-964-6463",
            "fax_number": "405-964-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S 8TH ST",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518633",
            "telephone_number": "405-964-6463",
            "fax_number": "405-964-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIGAR",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLoud, OK

Sources for this page

Verify at the official NPI Registry.