Active NPI
Edith J Lubin, MD
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1780607952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29534
- Practice address
- 100 NE 5TH St
Oklahoma City, OK 73104-2228 - Phone
- (888) 803-3070
- Fax
- (888) 803-3331
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29534 | OK | Primary |
Addresses
Primary practice location
100 NE 5TH St
Oklahoma City, OK 73104-2228
Mailing address
100 NE 5TH St
Oklahoma City, OK 73104-2228
Phone (888) 803-3370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200445240A | Medicaid | OK |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29534 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Health Clinic, PLLC | Family Medicine | Current | Accepting new patients |
| Northeastern Oklahoma Community Health Centers, Inc. | Current | Accepting new patients | |
| Northeastern Oklahoma Community Health Centers Inc | Current | Accepting new patients | |
| Northeastern Oklahoma Community Health Centers Inc | Current | Accepting new patients | |
| Archwell Health Professional Services of Oklahoma, LLC | Current | Accepting new patients |
Locations
124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879
1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390
3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1457934895
-
- Federally Qualified Health Center (FQHC)
- Hulbert, OK
- NPI 1518070481
-
- Family Medicine Physician
- Muskogee, OK
- NPI 1902558117
-
- Federally Qualified Health Center (FQHC)
- Pryor, OK
- NPI 1669101184
-
- Federally Qualified Health Center (FQHC)
- Tahlequah, OK
- NPI 1073164125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1780607952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NE 5TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731042228",
"telephone_number": "888-803-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NE 5TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731042228",
"telephone_number": "888-803-3070",
"fax_number": "888-803-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBIN",
"first_name": "EDITH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "29534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200445240A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.