Noel W. Emerson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3521 Issued in OK

Practice address

1510 S Virginia Ave
Atoka, OK 74525-3246

Phone

(580) 889-6621

Fax

(580) 889-3602

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: noel.emerson.1@4696.direct.athenahealth.com
• Direct secure messaging: noel.emerson.2@4696.direct.athenahealth.com

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.

• Durant Hma Physician Management, LLC

  • Internal Medicine Physician
  • Durant, OK
  • NPI 1043361116
  Medicare reassignment NPD
• Holdenville Hospital Authority

  • Critical Access Hospital
  • Holdenville, OK
  • NPI 1265851455
  Medicare reassignment NPD
• Holdenville Hospital Authority

  • Rural Health Clinic/Center
  • Wewoka, OK
  • NPI 1285038596
  NPD
• Holdenville Hospital Authority

  • Rural Health Clinic/Center
  • Holdenville, OK
  • NPI 1780003970
  NPD
• Holdenville Hospital Authority

  • Rural Health Clinic/Center
  • Holdenville, OK
  • NPI 1902265309
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1801896709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 S BIG BEN RD",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745254501",
            "telephone_number": "580-889-6399",
            "fax_number": "580-889-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253246",
            "telephone_number": "580-889-6621",
            "fax_number": "580-889-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "NOEL",
        "middle_name": "W.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096460C",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "noel.emerson.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1592 S Virginia Ave",
            "city": "Atoka",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745253246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shanna Jo Duncan, BACHELORS OF PSY
• Erin Katherine Durbin
• Laura Durbin
• Kay Durham
• Elmbrook of Atoka Operating Co LLC
• Angela Bellisario England, LMT
• Stephen Jerry Estep
• Mark Estus, B.A.
• William Lee Evans III, OD
• Faith Based Counseling LLC

• Family Medicine Physician in Atoka, OK
• Providers in Atoka, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.

Verify at the official NPI Registry.