Organization Active NPI

Enid Medical Associates

  • Internal Medicine Physician
  • Enid, OK
National Provider Identifier
1619036167
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ENID MEDICAL ASSOCIATES
Practice address
721 W Broadway Ave
Enid, OK 73701-3880
Phone
(580) 237-0322
Fax
(580) 233-0402
NPI assigned
Dec 8, 2006
Last updated
Jan 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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

Authorized official

Name
Michael Zane Rickman, MDNPI 1497751259
Title
President
Phone
(580) 237-0322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

721 W Broadway Ave
Enid, OK 73701-3880

Mailing address

721 W Broadway Ave
Enid, OK 73701-3880
Phone (580) 237-0322

Other identifiers 1

IdentifierTypeStateIssuer
CP8467OtherRAILROAD MEDICARE ID

National Provider Directory

National Provider Directory

Locations

721 W Broadway Ave
Enid, OK 73701
Phone (580) 233-7500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232150400000",
    "number": "1619036167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W BROADWAY AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013880",
            "telephone_number": "580-237-0322",
            "fax_number": "580-233-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W BROADWAY AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013880",
            "telephone_number": "580-237-0322",
            "fax_number": "580-233-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-01-17",
        "status": "A",
        "authorized_official_last_name": "RICKMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ZANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-237-0322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "CP8467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; 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.