NPIMap

Organization Active NPI

Integris Bass Baptist Health Center

Doing business as INTEGRIS Bass Specialty-Gastroenterology

  • Gastroenterology Physician
  • Enid, OK
National Provider Identifier
1679070577
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
INTEGRIS BASS BAPTIST HEALTH CENTER
Doing business as
INTEGRIS Bass Specialty-Gastroenterology
Practice address
707 S Monroe St
Enid, OK 73701-7286
Phone
(580) 977-1960
Fax
(580) 977-1959
NPI assigned
Apr 9, 2018
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRIS BASS BAPTIST HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Mike Weed
Title
Chief Financial Officer
Phone
(405) 949-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

707 S Monroe St
Enid, OK 73701-7286

Mailing address

3001 Quail Springs Pkwy
Oklahoma City, OK 73134-2640

Other names 1

  • INTEGRIS Bass Specialty-Gastroenterology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000717 OK Part B Supplier - Clinic/Group Practice 0345151981 Receives reassigned benefits from 28 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Medford, OK; Hennessey, OK; Enid, OK

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Part of
Bass Memorial Baptist Hospital Dba Integris Bass Baptist Health Center

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1679070577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S MONROE ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017286",
            "telephone_number": "580-977-1960",
            "fax_number": "580-977-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS BASS BAPTIST HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRIS BASS BAPTIST HEALTH CENTER",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "WEED",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "405-949-3402"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS Bass Specialty-Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INTEGRIS Bass Specialty-Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.