Active NPI
Paul S Erba, MD
- Radiation Oncology Physician
- Enid, OK
National Provider Identifier
1619050622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 16411
- Practice address
- 600 S Monroe St
Enid, OK 73701-7211 - Phone
- (580) 233-3843
- Fax
- (580) 548-1484
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 16411 | OK | Primary |
Addresses
Primary practice location
600 S Monroe St
Enid, OK 73701-7211
Mailing address
PO Box 5096
Enid, OK 73702-5096
Phone (580) 233-3843
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731440959 | Other | OK | TAX PAYER ID NUMBER |
| 300006050 | Other | OK | RAILROAD MC |
| A0001 | Other | OK | TRICARE |
| 100003480A | Medicaid | OK | |
| 788007 | Other | OK | FIRST HEALTH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120717000605 | OK | Practitioner - Radiation Oncology | 8921264011 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Radiation Oncology Physician
- Enid, OK
- NPI 1659645166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1619050622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5096",
"city": "ENID",
"state": "OK",
"postal_code": "737025096",
"telephone_number": "580-233-3843",
"fax_number": "580-548-1484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S MONROE ST",
"city": "ENID",
"state": "OK",
"postal_code": "737017211",
"telephone_number": "580-233-3843",
"fax_number": "580-548-1484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERBA",
"first_name": "PAUL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OK",
"license": "16411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX PAYER ID NUMBER",
"identifier": "731440959",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC",
"identifier": "300006050",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A0001",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100003480A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "788007",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
- Enid Surgical Anesthesia LLC
- Enid Urology Associates, Inc
- Enid Urology Associates, Inc.
- Enid Vision Center PLLC
- Enid Womens Healthcare Associates
- Erin K. Roberts, DDS, PLC (Healthy Smiles)
- Teresa Jeanne Etter, APRN-CNS
- Kelsey Marie Eubanks I
- Evans Pharmacy LLC (Evans Pharmacy Viatl Care)
- Evans Pharmacy LLC (Evans Express LTC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.