Individual provider Active NPI

Gregory Lee Lamp Sr., MS CCCA

  • Audiologist
  • Grove, OK
National Provider Identifier
1922048909
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
161 Issued in OK
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

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100666250DMedicaidOK
100810190AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.