NPIMap

Individual provider Active NPI

Beth Lee Leader, DO

  • General Practice Physician
  • Antlers, OK
National Provider Identifier
1891786737
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2795 Issued in OK
Practice address
603 NE 2ND St
Rowland Flatt Clinic
Antlers, OK 74523-2636
Phone
(580) 298-3351
Fax
(580) 298-3803
NPI assigned
Oct 31, 2005
Last updated
Apr 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2795 OK Primary

Addresses

Primary practice location

603 NE 2ND St
Rowland Flatt Clinic
Antlers, OK 74523-2636

Mailing address

603 NE 2ND St
Antlers, OK 74523-2636
Phone (580) 298-3351

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
I20100208000399 OK Practitioner - General Practice 2567505969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

403 S Indian Rd
Idabel, OK 74745-5458
Phone 5802866688140

510 S Park Dr
Broken Bow, OK 74728-5330
Phone (580) 286-6688

6026 Battiest Pickens Rd
Broken Bow, OK 74728-5033
Phone 5802866688149

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2795OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kiamichi Family Medical Center Inc. CurrentSince May 23, 2016 Accepting new patients
Kiamichi Family Medical Center, Inc CurrentSince May 23, 2016 Accepting new patients
R E F M Emergency Services Past Accepting new patients
Rowland Ellis Flatt Hugo Rural Health Clinic Past Accepting new patients
Mena Hospital Commission Past Accepting new patients
Kiamichi Family Medical Center, Inc PastSince May 18, 2025 Accepting new patients

Locations

2809 NE Lincoln Rd
Idabel, OK 74745
Phone (580) 286-6688

601 E Washington St
Idabel, OK 74745
Phone (580) 286-6688

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDGBBA

Organizations & group practices 6

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1891786737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NE 2ND ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232636",
            "telephone_number": "580-298-3351",
            "fax_number": "580-298-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NE 2ND ST",
            "address_2": "ROWLAND FLATT CLINIC",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232636",
            "telephone_number": "580-298-3351",
            "fax_number": "580-298-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADER",
        "first_name": "BETH",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "2795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antlers, OK

Sources for this page

Verify at the official NPI Registry.