Individual provider Active NPI

Paul Konrad Fuhrmeister, M.D.

  • Family Medicine Physician
  • Miami, OK
National Provider Identifier
1811189194
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23275 Issued in OK
Practice address
21 W Central Ave
Miami, OK 74354-6815
Phone
(918) 542-3900
Fax
(918) 542-3928
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 23275 OK Primary

Addresses

Primary practice location

21 W Central Ave
Miami, OK 74354-6815

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (918) 542-3900

Other identifiers 3

IdentifierTypeStateIssuer
200170520AMedicaidOK
100736700OMedicaidOK
9135052MedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000107 OK Practitioner - Family Practice 9638065709 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23275OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Oct 1, 2013 Accepting new patients

Locations

10 E 13th St
Grove, OK 74344
Phone (918) 786-1909

21 W Central Ave
Miami, OK 74354
Phone (918) 540-7573

30 B St SW
Miami, OK 74354
Phone (918) 542-2273

310 2nd Ave SW
Ste 107
Miami, OK 74354
Phone (918) 540-7700

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

216 S 7th St
Ste 1
Vinita, OK 74301
Phone (918) 256-1500

Interoperability endpoints

  • Direct secure messaging: pfuhrmeister17272@direct.integrisok.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1811189194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "918-542-3900",
            "fax_number": "918-542-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CENTRAL AVE",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546815",
            "telephone_number": "918-542-3900",
            "fax_number": "918-542-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMEISTER",
        "first_name": "PAUL",
        "middle_name": "KONRAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200170520A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100736700O",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9135052",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.