Active NPI
Elliott R Schwartz, DO
- Pulmonary Disease Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2728
- Practice address
- 809 Glenridge Dr
Edmond, OK 73013-1826 - Phone
- (405) 751-7676
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2728 | OK | Primary |
Addresses
Primary practice location
809 Glenridge Dr
Edmond, OK 73013-1826
Mailing address
5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 751-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100122690A | Medicaid | OK |
Other names 1
- Elliott R Schwartz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2728 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Integris Baptist Associates | Past | Accepting new patients | |
| Integris South Oklahoma City Hospital Corporation | Past | Accepting new patients | |
| Integris Southwest Associates | Past | Accepting new patients | |
| Integris South Oklahoma City Hospital Corporation | Past | Accepting new patients |
Locations
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
4200 S Douglas Ave
Ste 313
Oklahoma City, OK 73109
Phone (405) 634-6417
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
5100 N Brookline Ave
Ste 950
Oklahoma City, OK 73112
Phone (405) 717-9840
4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Integris Health Grove Hospital | Hospital | Corporate Director | Jul 1, 2020 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Integris Health Grove Hospital
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
Corporate Director
-
dba Integris Grove EMS
- Ambulance
- Grove, OK
- NPI 1770626608
Corporate Director
Organizations & group practices 5
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.
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1205969458
-
dba Integris Health Southwest Medical Center
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
-
dba Integris Southwest Medical Center
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1538587464
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oklahoma City, OK
- NPI 1639202898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1871579185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "SUITE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "405-751-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 GLENRIDGE DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131826",
"telephone_number": "405-751-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "ELLIOTT",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OK",
"license": "2728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100122690A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLIOTT",
"last_name": "SCHWARTZ",
"middle_name": "R",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.