Allen J Hamaker, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ALLEN J HAMAKER, MD PC

Practice address

3613 NW 56TH St
Suite 140
Okc, OK 73112

Phone

(405) 949-6481

Fax

(405) 795-5908

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Allen J Hamaker, MDNPI 1326028663

Title

Coo

Phone

(405) 949-6481

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allen J Hamaker, MD

  • Internal Medicine Physician
  • Okc, OK
  • NPI 1326028663

  Internal Medicine, OK

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1720158397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 NW 56TH ST.",
            "address_2": "SUITE 140",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-949-6481",
            "fax_number": "405-795-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NW 56TH ST",
            "address_2": "SUITE 140",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-949-6481",
            "fax_number": "405-795-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN J HAMAKER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "HAMAKER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "405-949-6481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "20735",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100060090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Okc, OK
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.