NPIMap

Organization Active NPI

Fusion MD PLLC

  • Clinic/Center
  • Del City, OK
National Provider Identifier
1770936452
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FUSION MD PLLC
Practice address
5472 Main St
Suite 101
Del City, OK 73115-5524
Phone
(405) 607-5920
NPI assigned
Jul 19, 2016
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Alicia Barton
Title
Office Manager
Phone
(405) 607-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

5472 Main St
Suite 101
Del City, OK 73115-5524

Mailing address

PO Box 19635
Oklahoma City, OK 73144-0635

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160906001343 OK Part B Supplier - Clinic/Group Practice 0042506701 Receives reassigned benefits from 10 practitioners
Practice locations: Del City, OK

National Provider Directory

National Provider Directory

Locations

5472 Main St
Ste 101
Oklahoma City, OK 73115
Phone (405) 607-5920

Practitioners & affiliated clinicians

Practitioners 10

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": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1770936452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19635",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731440635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 MAIN ST",
            "address_2": "SUITE 101",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731155524",
            "telephone_number": "405-607-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-607-5920"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.