NPIMap

Organization Active NPI

Centurion Emergency Partners LLC

  • Emergency Medicine Physician
  • Duncan, OK
National Provider Identifier
1750112942
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CENTURION EMERGENCY PARTNERS LLC
Practice address
2621 N Whisenant Dr
Duncan, OK 73533-0911
Phone
(580) 252-5300
NPI assigned
Aug 9, 2024
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
James Petersen, DONPI 1992145098
Title
Owner / President
Phone
(877) 485-4474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
General Care Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278G1100X
General Care Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279G1100X

Addresses

Primary practice location

2621 N Whisenant Dr
Duncan, OK 73533-0911

Mailing address

200 N Bryant Ave Ste 10
Edmond, OK 73034-6294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241015003493 OK Part B Supplier - Clinic/Group Practice 1153853130 Receives reassigned benefits from 26 practitioners
Practice locations: Duncan, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1750112942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BRYANT AVE STE 10",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 N WHISENANT DR",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735330911",
            "telephone_number": "580-252-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION EMERGENCY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "877-485-4474",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2278G1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.