Individual provider Active NPI

John S. Yuthas, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Norman, OK
National Provider Identifier
1689660193
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
18753 Issued in OK
Practice address
4716 Lake Front Rd
Norman, OK 73072-9744
Phone
(405) 573-2955
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 18753 OK Primary

Addresses

Primary practice location

4716 Lake Front Rd
Norman, OK 73072-9744

Mailing address

4716 Lake Front Rd
Norman, OK 73072-9744
Phone (405) 573-2955

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000565 OK Practitioner - Emergency Medicine 2860468576 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18753OKMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Emergency Services PC CurrentSince Mar 1, 2018 Accepting new patients
Oklahoma Emergency Services PC CurrentSince Jan 1, 2011 Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Jan 1, 2011 Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Lightstar Emergency Physicians, PLLC Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Morningstar Emergency Physicians PLLC Past Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689660193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 LAKE FRONT RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729744",
            "telephone_number": "405-573-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 LAKE FRONT RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729744",
            "telephone_number": "405-573-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUTHAS",
        "first_name": "JOHN",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "18753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.