NPIMap

Organization Active NPI

Mercy Health Network Inc

  • Pediatrics Physician
  • Edmond, OK
National Provider Identifier
1710047550
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MERCY HEALTH NETWORK INC
Practice address
1575 N Santa Fe Ave
Edmond, OK 73003-3638
Phone
(405) 285-0660
Fax
(405) 285-0659
NPI assigned
Dec 11, 2006
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
James E. Newman
Title
Chief Financial Officer
Phone
(405) 752-3724

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1575 N Santa Fe Ave
Edmond, OK 73003-3638

Mailing address

4300 W Memorial Rd
Attn: James E. Newman
Oklahoma City, OK 73120-8304
Phone (405) 752-3724

National Provider Directory

National Provider Directory
Tax ID family
Janie L Howard PA4 organizations share this tax ID, including this one
Part of
Janie L Howard PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1710047550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "address_2": "ATTN: JAMES E. NEWMAN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304",
            "telephone_number": "405-752-3724",
            "fax_number": "405-752-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033638",
            "telephone_number": "405-285-0660",
            "fax_number": "405-285-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH NETWORK INC",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "405-752-3724"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.