Active NPI
Gregory Lee Lamp Sr., MS CCCA
- Audiologist
- Grove, OK
National Provider Identifier
1922048909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 161
- Practice address
- 716 South Main
Grove, OK 74344-6597 - Phone
- (918) 786-5544
- Fax
- (918) 786-5710
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 161 | OK | Primary |
Addresses
Primary practice location
716 South Main
Grove, OK 74344-6597
Mailing address
PO Box 6597
716 South Main
Grove, OK 74344-6597
Phone (918) 786-5544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100666250D | Medicaid | OK | |
| 100810190A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100405000017 | OK | Practitioner - Qualified Audiologist | 7012043763 | Practice locations: Miami, OK; Vinita, OK; Grove, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Oklahoma College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6597 PO Box
Grove, OK 74344
716 S Main St
Grove, OK 74344-6569
Phone (918) 786-5544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay Chiropractic Health and Rehabilitation 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.
-
- Chiropractor
- Grove, OK
- NPI 1346317278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1922048909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6597",
"address_2": "716 SOUTH MAIN",
"city": "GROVE",
"state": "OK",
"postal_code": "743446597",
"telephone_number": "918-786-5544",
"fax_number": "918-786-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 SOUTH MAIN",
"city": "GROVE",
"state": "OK",
"postal_code": "743446597",
"telephone_number": "918-786-5544",
"fax_number": "918-786-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMP",
"first_name": "GREGORY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "MS CCCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100666250D",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100810190A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.