Active NPI
John David Conley, D.O.
- Family Medicine Physician
- Durant, OK
National Provider Identifier
1659438034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4448
- Practice address
- 1327 N 16TH Ave
Durant, OK 74701-2134 - Phone
- (580) 745-1011
- Fax
- (580) 745-5332
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 4448 | OK | Primary |
Addresses
Primary practice location
1327 N 16TH Ave
Durant, OK 74701-2134
Mailing address
PO Box 960251
Oklahoma City, OK 73196-0001
Phone (580) 548-1367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200113430A | Medicaid | OK |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1323 N 16TH Ave
Durant, OK 74701-2134
Phone (580) 745-1011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4448 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall County Hma LLC | Family Medicine | Past | Accepting new patients |
| Marshall County Hma, LLC | Past | Accepting new patients | |
| Marshall County Hma LLC | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Durant, OK
- NPI 1003060831
-
- Family Medicine Physician
- Durant, OK
- NPI 1356874374
-
- Family Medicine Physician
- Kingston, OK
- NPI 1659372712
-
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Durant, OK
- NPI 1578908349
-
- Home Health Agency
- Tishomingo, OK
- NPI 1891116232
-
- Home Health Agency
- Durant, OK
- NPI 1669473104
-
- General Acute Care Hospital
- Durant, OK
- NPI 1770522906
-
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1659438034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 960251",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731960001",
"telephone_number": "580-548-1367",
"fax_number": "580-548-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 N 16TH AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747012134",
"telephone_number": "580-745-1011",
"fax_number": "580-745-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "JOHN",
"middle_name": "DAVID",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200113430A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.