John P Agent, DO

Key facts

NPI

1649217191

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

3341 (OK)

Practice address

1015 E Choctaw Ave
Sallisaw, OK 74955-5011

Phone

(918) 774-0034

Fax

(918) 774-0650

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 10

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.

• Mercy Clinic Fort Smith Communities Orthopaedic Surgery Physician · Fort Smith, AR · NPI 1699070649
  Medicare reassignment Care Compare group NPD AR
• Mercy Clinic Fort Smith Communities Multi-Specialty Clinic/Center · Fort Smith, AR · NPI 1902073620
  Medicare reassignment Care Compare group NPD AR · OK
• Baptist Health Services Foot & Ankle Surgery Podiatrist · Fort Smith, AR · NPI 1922587690
  Medicare reassignment NPD AR
• Prime Physicians LLC General Practice Physician · Fort Smith, AR · NPI 1033454723
  Medicare reassignment NPD AR
• Mercy Clinic Fort Smith Communities Medical Specialty Clinic/Center · Fort Smith, AR · NPI 1023346202
  Care Compare group NPD
• Mercy Clinic Fort Smith Communities Endocrinology, Diabetes & Metabolism Physician · Fort Smith, AR · NPI 1790258002
  Care Compare group NPD
• F&S Physical Therapy, Inc. Physical Therapist · Alma, AR · NPI 1518936418
  Care Compare group
• Baptist Health Services Family Medicine Physician · Fort Smith, AR · NPI 1750856043
  NPD INTERNAL MEDICINE
• Ahs Oklahoma Physician Group LLC Family Medicine Physician · Tulsa, OK · NPI 1235182775
  NPD (past) INTERNAL MEDICINE
• Sequoyah County City of Sallisaw Hospital Authority Rural Acute Care Hospital · Sallisaw, OK · NPI 1972539567
  NPD (past)

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Continental Home Care, LLC Home Health Agency · Muskogee, OK · NPI 1306826698
  Care Compare affiliation Home health agency
• Holistic Home Care Home Health LLC Home Health Agency · Keota, OK · NPI 1144614975
  Care Compare affiliation Home health agency
• Homecare Clinicians LLC Home Health Agency · Sallisaw, OK · NPI 1679659270
  Care Compare affiliation Home health agency
• Homecare Clinicians LLC Home Health Agency · Stillwater, OK · NPI 1942440102
  Care Compare affiliation Home health agency
• Leflore County Hospital Authority Psychiatric Hospital Unit · Poteau, OK · NPI 1184997447
  Care Compare affiliation Hospital
• Leflore County Hospital Authority Critical Access Hospital · Poteau, OK · NPI 1396767158
  Care Compare affiliation Hospital
• Mays Housecall Home Health of Tulsa, LLC Home Health Agency · Tulsa, OK · NPI 1063837706
  Care Compare affiliation Home health agency
• Mays Professional Home Helath of Sallisaw, LLC Home Health Agency · Sallisaw, OK · NPI 1689099426
  Care Compare affiliation Home health agency
• Sequoyah County City of Sallisaw Hospital Authority Rural Acute Care Hospital · Sallisaw, OK · NPI 1972539567
  Care Compare affiliation Hospital
• Baptist Health Regional Hospitals General Acute Care Hospital · Fort Smith, AR · NPI 1710463146
  Care Compare affiliation Hospital
• Mercy Hospital Fort Smith General Acute Care Hospital · Fort Smith, AR · NPI 1568433480
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Clinic Fort Smith Communities (361 clinicians)
Fands Physical Therapy, Inc (217 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Professional Home Health Home health agency · Sallisaw, OK · CCN 377588
• Elara Caring Xviii Home health agency · Sallisaw, OK · CCN 377713
• Enhabit Home Health of Eastern Oklahoma Home health agency · Muskogee, OK · CCN 377643
• Mays Housecall Home Health of Tulsa, LLC Home health agency · Tulsa, OK · CCN 377691
• Holistic Home Care Home Health, LLC Home health agency · Keota, OK · CCN 377788
• Mercy Hospital Fort Smith Hospital · Fort Smith, AR · CCN 040062
• Sequoyah County-City of Sallisaw Hospital Authorit Hospital · Sallisaw, OK · CCN 370112
• Baptist Health - Fort Smith Hospital · Fort Smith, AR · CCN 040055
• Eastern Oklahoma Medical Center Hospital · Poteau, OK · CCN 371337

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in AR, OK

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jagent241742@direct.baptist-healthar.org
• Direct secure messaging: jagent134915@directc.mercy.net
• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 20, 2018.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1649217191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776075",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776075",
            "telephone_number": "918-774-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E CHOCTAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749555011",
            "telephone_number": "918-774-0034",
            "fax_number": "918-774-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGENT",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-1152",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110222385",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145013003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Sallisaw, OK · Internal Medicine Physician in Oklahoma