Individual provider Active NPI

Irina Edwardovna Payne, MD

  • Emergency Medicine Physician
  • Holdenville, OK
National Provider Identifier
1720024276
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22402 Issued in OK
Practice address
100 McDougal Dr
Emergency Department
Holdenville, OK 74848-2822
Phone
(405) 379-4200
NPI assigned
Jun 22, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22402 OK Primary

Addresses

Primary practice location

100 McDougal Dr
Emergency Department
Holdenville, OK 74848-2822

Mailing address

2205 Woodford Way
Edmond, OK 73034-6445
Phone (405) 285-0497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22402OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Watonga Hospital Trust Authority Past Accepting new patients
Hughes Emergency Physicians Emergency Medicine Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Modernday Housecall Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720024276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WOODFORD WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346445",
            "telephone_number": "405-285-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCDOUGAL DR",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748482822",
            "telephone_number": "405-379-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "IRINA",
        "middle_name": "EDWARDOVNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "22402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdenville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.