Kimberly K Hanigar, M.D.
Individual provider Active NPI Family Medicine Physician · McLoud, OK
NPI 1609858331 · NPPES record last updated Sep 19, 2016
Key facts
- NPI
- 1609858331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18949 (OK)
- Practice address
- 704 S 8TH St
McLoud, OK 74851-8633 - Phone
- (405) 964-6463
- Fax
- (405) 964-2412
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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, LLC
Practice addresses (Care Compare)
2749 Progressive Dr
Edmond, OK 73034-7649
Phone (405) 772-4130
Hospital & facility affiliations
- SSM Health at Home Home Health - Oklahoma
- SSM Health St Anthony Hospital - Shawnee
- SSM Health St Anthony Hospital - Oklahoma City
- SSM Health St Anthony Hospital - Midwest
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070522000214 | OK | Practitioner - Family Practice | 3173412566 |
Reassigns benefits to 2 organizations Practice locations: McLoud, OK |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18949 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| SSM Health Care of Oklahoma, Inc | Current | Accepting new patients | |
| Saints Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| SSM Health Care of Oklahoma, Inc. | Family Medicine | Current |
Accepting new patients |
| SSM Health Care of Oklahoma Inc | Current |
Accepting new patients | |
| St Anthony Shawnee Hospital Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Kimberly K Hanigar | Family Medicine | 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 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
1900 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-2240
Interoperability endpoints
- khanigar164498@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18949 | OK | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100126130C | Medicaid | OK |
Other providers in McLoud, OK
- Corey Nicole Green
- Destini Green
- Jennifer Lee Griffith
- Alexandrea Grigg
- Allison R Halford
- Harbans Singh Hans
- Forrest Hardesty
- Nathan Heath Hobbs
- Rodney Mitchell Hutchins
- Meredith Nicole Jacquemin
All providers in McLoud, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.