Individual provider Active NPI

Elizabeth Romanik Kinzie, MD

  • Internal Medicine Physician
  • Waynoka, OK
National Provider Identifier
1760450472
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25482 Issued in OK
Practice address
1084 Nickerson St
Waynoka, OK 73860
Phone
(580) 824-2291
Fax
(580) 824-0429
NPI assigned
Mar 9, 2006
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25482 OK Primary
Hospitalist Physician 208M00000X 25482 OK

Addresses

Primary practice location

1084 Nickerson St
Waynoka, OK 73860

Mailing address

3001 Quail Springs Pkwy
Oklahoma City, OK 73134-2640
Phone (405) 945-4587

Other practice location 1

1201 E Hartford Ave
Ponca City, OK 74601-2018
Phone (580) 762-1911

Other practice location 2

600 S Monroe St
Enid, OK 73701-7211
Phone (580) 548-1548

Other names 1

  • Dr. Elizabeth Romanik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001173 OK Practitioner - Internal MedicinePractitioner - Psychiatry 2365636354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Psychiatry
Education
Michigan State University College of Human Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

2821 N Van Buren St B
Integris Urgent Care North
Enid, OK 73703-1729
Phone (580) 213-9794

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25482OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Bass Baptist Health Center CurrentSince Sep 1, 2017 Accepting new patients
Integris Bass Baptist Health Center CurrentSince Sep 1, 2017 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Mar 16, 2019 Accepting new patients
Ideal Practice Management Group Mi LLC PastSince Nov 1, 2017 Accepting new patients
Integris Bass Baptist Health Center Past Accepting new patients
Beadles, Inc. Past Accepting new patients
Hearing Health Care, Inc. PastSince Apr 11, 2005 Accepting new patients

Locations

800 Share Dr
Alva, OK 73717
Phone (580) 327-2800

2821 N Van Buren St
Ste B
Enid, OK 73703
Phone (580) 213-9794

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

3001 Quail Springs Pkwy
Oklahoma City, OK 73134

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

1084 Nickerson St
Waynoka, OK 73860
Phone (580) 824-2281

Interoperability endpoints

  • Direct secure messaging: ekinzie86953@direct.integrisok.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Integris Health Medical Group WaynokaWaynoka, OK, CCN 373872 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Aug 31, 2017
Aug 31, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1760450472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "405-945-4587",
            "fax_number": "405-713-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 NICKERSON ST",
            "city": "WAYNOKA",
            "state": "OK",
            "postal_code": "73860",
            "telephone_number": "580-824-2291",
            "fax_number": "580-824-0429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 E Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746012018",
            "country_code": "US",
            "telephone_number": "580-762-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 S Monroe St",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737017211",
            "country_code": "US",
            "telephone_number": "580-548-1548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINZIE",
        "first_name": "ELIZABETH",
        "middle_name": "ROMANIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "25482",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "25482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ROMANIK",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynoka, OK

Sources for this page

Verify at the official NPI Registry.