NPIMap

Organization Active NPI

Nick Knutson MD, a Professional Corporation

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1740400274
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10530 Issued in OK
Legal business name
NICK KNUTSON MD, A PROFESSIONAL CORPORATION
Practice address
8100 S Walker Ave
Building a, Suite 230
Oklahoma City, OK 73139-9402
Phone
(405) 631-0481
NPI assigned
Apr 26, 2007
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Mr. Scott Mitchell
Title
Office Manager
Phone
(405) 631-0481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 10530 OK Primary

Addresses

Primary practice location

8100 S Walker Ave
Building a, Suite 230
Oklahoma City, OK 73139-9402

Mailing address

8100 S Walker Ave
Building a, Suite 230
Oklahoma City, OK 73139-9402
Phone (405) 631-0481

National Provider Directory

National Provider Directory

Locations

8100 S Walker Ave
Ste 230
Oklahoma City, OK 73139
Phone (405) 631-0481

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1740400274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE",
            "address_2": "BUILDING A, SUITE 230",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399402",
            "telephone_number": "405-631-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE",
            "address_2": "BUILDING A, SUITE 230",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399402",
            "telephone_number": "405-631-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK KNUTSON MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-631-0481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "10530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.