Phillip Alton Nokes, DO

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

1919 Issued in OK

Practice address

1105 Michelin Rd
Michelin Family Health Center
Ardmore, OK 73401-1085

Phone

(580) 224-8750

Fax

(580) 224-4454

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Oklahoma State University College of Osteopathic Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chappell Clinic, IncGroup PAC ID 6406010206, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Chappell Clinic, Inc

  • Chiropractor
  • Edmond, OK
  • NPI 1972798387
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1689652075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 FOXDEN RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734017751",
            "telephone_number": "580-657-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MICHELIN RD",
            "address_2": "MICHELIN FAMILY HEALTH CENTER",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011085",
            "telephone_number": "580-224-8750",
            "fax_number": "580-224-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOKES",
        "first_name": "PHILLIP",
        "middle_name": "ALTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1919",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OK",
            "license": "1919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Nichols
• Montana Deane Nichols
• Carley Abbott Nitschmann, APRN-CNP
• Nna of Oklahoma LLC
• Benjamin V Noah, PHD
• Deryn Norman, OD
• Megan Norman
• Shaylea Norman
• Gracie Northrup
• Laci Naomi Norton

• Sports Medicine (Family Medicine) Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Sports Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.

Verify at the official NPI Registry.