NPIMap

Individual provider Active NPI

Christopher Allen Puckett, M.D.

  • Hematology & Oncology Physician
  • Stillwater, OK
National Provider Identifier
1831130806
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
16170 Issued in OK
Practice address
600 S Adams St
Stillwater, OK 74074-4370
Phone
(405) 372-1775
Fax
(405) 372-1802
NPI assigned
Jun 9, 2006
Last updated
Feb 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 16170 OK Primary

Addresses

Primary practice location

600 S Adams St
Stillwater, OK 74074-4370

Mailing address

600 S Adams St
Stillwater, OK 74074-4370
Phone (405) 372-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000218 OK Practitioner - Medical OncologyPractitioner - Internal Medicine 6507874807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 W 6TH Ave
Suite 108 the Cancer Clinic Lower Level
Stillwater, OK 74074-4377
Phone (405) 533-1695

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16170OKMDHematology & Oncology Physician
16170TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Cancer Specialists and Research Institute LLC Current Accepting new patients
Oklahoma Cancer Specialists and Research Institute, LLC CurrentSince Feb 10, 2016 Accepting new patients
Stillwater Medical Center Authority CurrentSince Oct 1, 2016 Accepting new patients
Tulsa Cancer Institute PLLC Hematology & Oncology Current Accepting new patients
Stillwater Medical Center Authority CurrentSince Oct 1, 2016 Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC Hematology & Oncology CurrentSince Feb 10, 2016 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients

Locations

901 N Strong Blvd
McAlester, OK 74501
Phone (918) 421-4621

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1201 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1775

1301 W 6th Ave
Ste 108
Stillwater, OK 74074
Phone (405) 533-1695

12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200

1810 E 15th St
Tulsa, OK 74104
Phone (918) 499-2000

9320 S Mingo Rd
Tulsa, OK 74133
Phone (918) 459-4000

Interoperability endpoints

  • Direct secure messaging: christopher.puckett.p1@direct.smc.nextgenshare.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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1831130806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S ADAMS ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744370",
            "telephone_number": "405-372-1775",
            "fax_number": "405-372-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S ADAMS ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744370",
            "telephone_number": "405-372-1775",
            "fax_number": "405-372-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "16170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.