Individual provider Active NPI

Melonie Dawn King, DO

  • Family Medicine Physician
  • Okemah, OK
National Provider Identifier
1811216567
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5074 Issued in OK
Practice address
1800 E Coplin St
Okemah, OK 74859-4642
Phone
(918) 623-1424
NPI assigned
May 20, 2010
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 5074 OK Primary

Addresses

Primary practice location

1800 E Coplin St
Okemah, OK 74859-4642

Mailing address

379126 E 1140 Rd
Okemah, OK 74859-1633
Phone (918) 851-6997

Other practice location 1

744 W 9th St
Tulsa, OK 74127-9020
Phone (918) 587-2561

Other identifiers 2

IdentifierTypeStateIssuer
42551OtherOKOBNDD
5074OtherOKOK STATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melonie.king@creekhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120223000243 OK Practitioner - Family PracticePractitioner - Emergency Medicine 8022276997 Reassigns benefits to 1 organization
I20191209001878 TX Practitioner - Family PracticePractitioner - Hospitalist 8022276997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700

1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424

500 Eunice Burns Rd
Eufaula, OK 74432-4052
Phone (918) 689-2547

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue114
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics Family Medicine Current Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Jan 3, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 25, 2016 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 25, 2016 Accepting new patients
Summit Medical Center Past Accepting new patients
Creek Nation Hospital and Clinics Board Past Accepting new patients
Rha Stroud Inc Past Accepting new patients

Locations

500 Eunice Burns Rd
Eufaula, OK 74432
Phone (918) 618-2168

800 W Forrest Ave
Eufaula, OK 74432
Phone (918) 618-2460

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

325 S Washita St
Wetumka, OK 74883
Phone (405) 452-1300

Interoperability endpoints

  • Direct secure messaging: melonieferry@rwhstroud.medalliesdirect.net
  • Direct secure messaging: mferry@yourcarecommunity.org
  • Direct secure messaging: mking22092@muscogeecreeknation.direct-ci.com

Organizations & group practices 7

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 5

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1811216567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379126 E 1140 RD",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748591633",
            "telephone_number": "918-851-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E COPLIN ST",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748594642",
            "telephone_number": "918-623-1424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279020",
            "country_code": "US",
            "telephone_number": "918-587-2561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "MELONIE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBNDD",
            "identifier": "42551",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK STATE LICENSE NUMBER",
            "identifier": "5074",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melonie.king@creekhealth.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1800 E Coplin St",
            "city": "Okemah",
            "state": "OK",
            "country_code": "US",
            "postal_code": "748594642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Okemah, OK

Sources for this page

Verify at the official NPI Registry.