Organization Active NPI

North Central Oklahoma

  • Surgery Physician
  • Ponca City, OK
National Provider Identifier
1821059015
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTH CENTRAL OKLAHOMA
Practice address
121 Patton Dr
Ponca City, OK 74601-2030
Phone
(580) 762-6676
Fax
(580) 762-0094
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Timothy Berry Gilbert, MDNPI 1336100288
Title
Physician
Phone
(580) 762-6676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X OK Primary

Addresses

Primary practice location

121 Patton Dr
Ponca City, OK 74601-2030

Mailing address

121 Patton Dr
Ponca City, OK 74601-2030
Phone (580) 762-6676

Other identifiers 1

IdentifierTypeStateIssuer
200071520AMedicaidOK

National Provider Directory

National Provider Directory

Locations

121 Patton Dr
Ponca City, OK 74601
Phone (580) 762-6676

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1821059015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PATTON DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012030",
            "telephone_number": "580-762-6676",
            "fax_number": "580-762-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PATTON DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012030",
            "telephone_number": "580-762-6676",
            "fax_number": "580-762-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "BERRY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-762-6676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200071520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.