Active NPI
Debra Sue Colpitt, M.D.
- Family Medicine Physician
- Owasso, OK
National Provider Identifier
1851316913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14288
- Practice address
- 10512 North 110TH East Avenue
Suite 300
Owasso, OK 74055-6638 - Phone
- (918) 376-8900
- Fax
- (918) 376-8987
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14288 | OK | Primary |
Addresses
Primary practice location
10512 North 110TH East Avenue
Suite 300
Owasso, OK 74055-6638
Mailing address
10512 North 110TH East Avenue
Suite 300
Owasso, OK 74055-6638
Phone (918) 376-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100100040B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14288 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Henryetta Hospital LLC | Past | Accepting new patients |
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.
-
- Rural Health Clinic/Center
- Henryetta, OK
- NPI 1871008722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1851316913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10512 NORTH 110TH EAST AVENUE",
"address_2": "SUITE 300",
"city": "OWASSO",
"state": "OK",
"postal_code": "740556638",
"telephone_number": "918-376-8900",
"fax_number": "918-376-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10512 NORTH 110TH EAST AVENUE",
"address_2": "SUITE 300",
"city": "OWASSO",
"state": "OK",
"postal_code": "740556638",
"telephone_number": "918-376-8900",
"fax_number": "918-376-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLPITT",
"first_name": "DEBRA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "14288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100100040B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.