Active NPI
Thomas E Trow
- Family Medicine Physician
- Park Hill, OK
National Provider Identifier
1619966827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10255
- Practice address
- 18452 W Lakewood Dr
Park Hill, OK 74451-2217 - Phone
- (918) 457-4344
- NPI assigned
- Oct 19, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10255 | OK | Primary |
Addresses
Primary practice location
18452 W Lakewood Dr
Park Hill, OK 74451-2217
Mailing address
18452 W Lakewood Dr
Park Hill, OK 74451-2217
Phone (918) 457-4344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100111390A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10255 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Past | Accepting new patients | |
| Urgent Care Clinic of Atoka, PC | Family Medicine | Past | Accepting new patients |
| Claremore Physicians LLC | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Tahlequah, OK
- NPI 1093722324
-
- Clinic/Center
- Claremore, OK
- NPI 1982692216
-
- Family Medicine Physician
- Atoka, OK
- NPI 1952477093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1619966827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18452 W LAKEWOOD DR",
"city": "PARK HILL",
"state": "OK",
"postal_code": "744512217",
"telephone_number": "918-457-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18452 W LAKEWOOD DR",
"city": "PARK HILL",
"state": "OK",
"postal_code": "744512217",
"telephone_number": "918-457-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROW",
"first_name": "THOMAS",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "10255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100111390A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Park Hill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.