Individual provider Active NPI

Justin Cole Cheek, APRN, CNP

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1760993158
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
92507 Issued in OK
Practice address
1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone
(580) 223-0447
Fax
(580) 223-2989
NPI assigned
Oct 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 92507 OK Primary

Addresses

Primary practice location

1011 14TH Ave NW
Ardmore, OK 73401-1828

Mailing address

2412 S Rockford Pkwy
Ardmore, OK 73401-3021
Phone (580) 465-1885

Other identifiers 1

IdentifierTypeStateIssuer
200750540AMedicaidOK

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180501001202 OK Practitioner - Nurse Practitioner 1951343730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baha Al Deen Abuesheh MD PCGroup PAC ID 4183623218, 7 clinicians

Practice addresses (Care Compare)

1803 N Rockford Rd
Ardmore, OK 73401-2522
Phone (580) 223-0447

Hospital & facility affiliations

  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Arbuckle Memorial Hospital Authority Hospital, Sulphur, OK, CCN 371328
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
92507OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baha Al Deen Abuesheh MD PC CurrentSince Mar 4, 2018 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients

Locations

908 N Rockford Rd
Ste A
Ardmore, OK 73401
Phone (580) 223-0447

1803 N Rockford Rd
Ardmore, OK 73401
Phone (580) 223-0447

11101 Hefner Pointe Dr
Ste 105
Oklahoma City, OK 73120
Phone (405) 604-4936

Interoperability endpoints

  • Direct secure messaging: justincheek@baemd.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1760993158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 S ROCKFORD PKWY",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013021",
            "telephone_number": "580-465-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 14TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011828",
            "telephone_number": "580-223-0447",
            "fax_number": "580-223-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEK",
        "first_name": "JUSTIN",
        "middle_name": "COLE",
        "name_prefix": "Mr.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "92507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200750540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.