Active NPI
David M Keuchel, DO
- Obstetrics & Gynecology Physician
- Enid, OK
National Provider Identifier
1790785202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2791
- Practice address
- 620 S Madison St
Suite 203
Enid, OK 73701-7273 - Phone
- (580) 237-7280
- Fax
- (580) 548-1505
- NPI assigned
- Jul 26, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2791 | OK | Primary |
Addresses
Primary practice location
620 S Madison St
Suite 203
Enid, OK 73701-7273
Mailing address
PO Box 5038
Enid, OK 73702-5038
Phone (580) 548-1367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101137230B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2791 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Medical Center Authority | Obstetrics & Gynecology | Current | Accepting new patients |
| Northwest Oklahoma Cardiovascular Consultants PC | Past | Accepting new patients |
Locations
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
1411 W 7th Ave
Stillwater, OK 74074
Phone (405) 624-8222
1411 W 7th Ave
Ste 202
Stillwater, OK 74074
Phone (405) 624-8222
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1558377135
Obstetrics & Gynecology
-
- Cardiovascular Disease Physician
- Enid, OK
- NPI 1467541854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1790785202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5038",
"city": "ENID",
"state": "OK",
"postal_code": "737025038",
"telephone_number": "580-548-1367",
"fax_number": "580-548-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S MADISON ST",
"address_2": "SUITE 203",
"city": "ENID",
"state": "OK",
"postal_code": "737017273",
"telephone_number": "580-237-7280",
"fax_number": "580-548-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEUCHEL",
"first_name": "DAVID",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "2791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101137230B",
"state": "OK"
}
],
"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 Aug 19, 2013; 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.