Active NPI
Rick D Arnold, P.A.
- Physician Assistant
- Enid, OK
National Provider Identifier
1750359675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2300
- Practice address
- 915 E Garriott Rd
Enid, OK 73701-6156 - Phone
- (580) 977-1941
- Fax
- (580) 234-8465
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2300 | OK | Primary |
Addresses
Primary practice location
915 E Garriott Rd
Enid, OK 73701-6156
Mailing address
5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (580) 977-1941
Other practice location 1
915 E Garriott Rd
Enid, OK 73701-6156
Phone (580) 234-8998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100407070B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1750359675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "SUITE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "580-977-1941",
"fax_number": "580-234-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E GARRIOTT RD",
"city": "ENID",
"state": "OK",
"postal_code": "737016156",
"telephone_number": "580-977-1941",
"fax_number": "580-234-8465"
}
],
"practiceLocations": [
{
"address_1": "915 E Garriott Rd",
"address_purpose": "LOCATION",
"city": "Enid",
"state": "OK",
"postal_code": "737016156",
"country_code": "US",
"telephone_number": "580-234-8998",
"fax_number": "580-234-8465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNOLD",
"first_name": "RICK",
"middle_name": "D",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100407070B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.