Individual provider Active NPI

Paul Bradley Plowman, M.D.

  • Obstetrics & Gynecology Physician
  • Ponca City, OK
National Provider Identifier
1619923463
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23548 Issued in OK
Practice address
517 Virginia Ave
Ponca City, OK 74601-2954
Phone
(405) 365-1210
NPI assigned
May 25, 2006
Last updated
Oct 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 23548 OK Primary

Addresses

Primary practice location

517 Virginia Ave
Ponca City, OK 74601-2954

Mailing address

517 Virginia Ave
Ponca City, OK 74601-2954

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061212000331 OK Practitioner - Obstetrics/GynecologyPractitioner - General PracticePractitioner - Family Practice 4688671274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice, General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1020 N Commerce St
Mercy Clinic Primary Care Commerce
Ardmore, OK 73401-3920
Phone (580) 223-5311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Nov 22, 2019 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc Current Accepting new patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Dec 22, 2013 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc CurrentSince Dec 22, 2013 Accepting new patients
Blue Horizons Womens Health PLC PastSince Jul 26, 2007 Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

1020 N Commerce St
Ardmore, OK 73401
Phone (580) 223-5311

124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1203 E Ross Byp
Tahlequah, OK 74464
Phone (918) 453-1234

1203 E Ross Byp
Ste A
Tahlequah, OK 74464
Phone (918) 453-1234

1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390

Organizations & group practices 7

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 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1619923463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 VIRGINIA AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 VIRGINIA AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012954",
            "telephone_number": "405-365-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOWMAN",
        "first_name": "PAUL",
        "middle_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "23548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.