NPIMap

Individual provider Active NPI

John Jules Schipul, MD

  • Family Medicine Physician
  • Chickasha, OK
National Provider Identifier
1790912707
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26614 Issued in OK
Practice address
2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736
Phone
(405) 224-2100
Fax
(405) 779-2855
NPI assigned
Jun 17, 2009
Last updated
Aug 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26614 OK Primary

Addresses

Primary practice location

2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736

Mailing address

2100 W Iowa Ave
Suite a
Chickasha, OK 73018-2736
Phone (405) 224-2100

Other identifiers 1

IdentifierTypeStateIssuer
200255760AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120702000396 OK Practitioner - Family Practice 1254596943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2222 W Iowa Ave
Carefirst Wellness Assoc
Chickasha, OK 73018-2738
Phone (405) 224-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26614OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Plains Medical Center Inc Family Medicine CurrentSince Mar 2, 2024 Accepting new patients
Southern Plains Medical Center Inc CurrentSince Mar 2, 2024 Accepting new patients
Southern Plains Medical Center Inc Current Accepting new patients
Southern Plains Medical Center Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2222 W Iowa Ave
Chickasha, OK 73018

13709 S Santa Fe Ave
Ste B
Oklahoma City, OK 73170
Phone (405) 794-4474

101 N Carter St
Ste 300
Pauls Valley, OK 73075
Phone (405) 331-5128

Interoperability endpoints

  • Direct secure messaging: john.schipul.1@17372.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1790912707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE",
            "address_2": "SUITE A",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W IOWA AVE",
            "address_2": "SUITE A",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182736",
            "telephone_number": "405-224-2100",
            "fax_number": "405-779-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPUL",
        "first_name": "JOHN",
        "middle_name": "JULES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200255760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.