Organization Active NPI

Richard M. Albertson, M.D., PLLC

  • Surgery Physician
  • Duncan, OK
National Provider Identifier
1700911732
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20765 Issued in OK
Legal business name
RICHARD M. ALBERTSON, M.D., PLLC
Practice address
1607 Brookwood Ave
Duncan, OK 73533-1360
Phone
(580) 255-2122
Fax
(580) 255-9695
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Richard M Albertson, M,D.
Title
Member
Phone
(580) 255-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 20765 OK Primary

Addresses

Primary practice location

1607 Brookwood Ave
Duncan, OK 73533-1360

Mailing address

1607 Brookwood Ave
Duncan, OK 73533-1360
Phone (580) 255-2122

Other identifiers 3

IdentifierTypeStateIssuer
45496780001OtherBLUE CROSS
100256970CMedicaidOK
020052445OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1607 N Brookwood Dr
Duncan, OK 73533
Phone (580) 255-2122

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1700911732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 BROOKWOOD AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331360",
            "telephone_number": "580-255-2122",
            "fax_number": "580-255-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 BROOKWOOD AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331360",
            "telephone_number": "580-255-2122",
            "fax_number": "580-255-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. ALBERTSON, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "580-255-2122",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "20765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "45496780001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256970C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020052445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.