Active NPI
Lynn Dean Baggett, M.D.
- Addiction Medicine (Family Medicine) Physician
- Konawa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 14448
- Practice address
- 527 W 3Rd St
Konawa, OK 74849-1415 - Phone
- (580) 925-3286
- Fax
- (580) 925-9149
- NPI assigned
- Jan 6, 2009
- Last updated
- Nov 18, 2021
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 14448 | OK | Primary |
Addresses
Primary practice location
527 W 3Rd St
Konawa, OK 74849-1415
Mailing address
527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 925-3286
Other practice location 1
3033 N Walnut Ave
Oklahoma City, OK 73105-2832
Phone (405) 232-9804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14448 | Other | OK | OK BOARD OF MEDICAL LICENSURE AND SUPERVISION |
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
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1121 Colony Dr
Ada, OK 74820-2342
Phone (580) 436-5111
527 W 3Rd St
Konawa, OK 74849-1415
Phone 5809253286227
625 N Monte Vista St
Ada, OK 74820-4613
Phone (580) 436-5111
807 N Monte Vista St
Ada, OK 74820-7711
Phone (580) 332-8855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14448 | OK | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Oklahoma Family Medical Center Inc | Current | Accepting new patients | |
| Central Oklahoma Family Medical Center, Inc. | Current | Accepting new patients | |
| Central Oklahoma Family Medical Center, Inc | Current | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients | |
| Central Oklahoma Family Medical Center, Inc. | Past | Accepting new patients |
Locations
1214 Arlington St
Ada, OK 74820
Phone (580) 436-2283
1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700
2901 Arlington St
Ada, OK 74820
Phone (580) 332-8900
300 S Highland St
Ada, OK 74820
301 N Monte Vista St
Ada, OK 74820
Phone (580) 436-2262
304 N Monte Vista St
Ada, OK 74820
Phone (580) 436-1111
625 N Monte Vista St
Ada, OK 74820
Phone (580) 332-3211
807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413
905 Colony Dr
Ada, OK 74820
Phone (580) 434-5111
930 N Country Club Rd
Ada, OK 74820
527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286
2403 W Wrangler Blvd
Ste A
Seminole, OK 74868
Phone (405) 382-4939
302 W Smith
Stratford, OK 74872
Interoperability endpoints
- lynn.baggett@cof.eclinicaldirectplus.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.
-
- Federally Qualified Health Center (FQHC)
- Konawa, OK
- NPI 1831291293
-
- Federally Qualified Health Center (FQHC)
- Ada, OK
- NPI 1770399008
-
- Federally Qualified Health Center (FQHC)
- Seminole, OK
- NPI 1962117754
-
- Federally Qualified Health Center (FQHC)
- Ada, OK
- NPI 1972194249
-
- Medical Specialty Clinic/Center
- Woodward, OK
- NPI 1750456588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1801032297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 W 3RD ST",
"city": "KONAWA",
"state": "OK",
"postal_code": "748491415",
"telephone_number": "580-925-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 W 3RD ST",
"city": "KONAWA",
"state": "OK",
"postal_code": "748491415",
"telephone_number": "580-925-3286",
"fax_number": "580-925-9149"
}
],
"practiceLocations": [
{
"address_1": "3033 N Walnut Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731052832",
"country_code": "US",
"telephone_number": "405-232-9804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAGGETT",
"first_name": "LYNN",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "OK",
"license": "14448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK BOARD OF MEDICAL LICENSURE AND SUPERVISION",
"identifier": "14448",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Konawa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.