Active NPI
Jeffrey a Rother, MD, PC
- Internal Medicine Physician
- Ardmore, OK
National Provider Identifier
1922116722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17679
- Legal business name
- JEFFREY A ROTHER, MD, PC
- Practice address
- 1221 G St NW
Ardmore, OK 73401-1812 - Phone
- (580) 224-2900
- Fax
- (580) 224-0009
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey A Rother, MD
- Title
- Owner
- Phone
- (580) 224-2900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17679 | OK | Primary |
Addresses
Primary practice location
1221 G St NW
Ardmore, OK 73401-1812
Mailing address
1221 G St NW
Ardmore, OK 73401-1812
Phone (580) 224-2900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17679 | Other | OK | OK LICENSE # |
| 442605098-002 | Other | OK | BCBS 12 DIGIT # |
| 1811951999 | Other | OK | TAX ID # |
National Provider Directory
National Provider DirectoryLocations
1221 G St NW
Ardmore, OK 73401
Phone (580) 224-2900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ardmore, OK
- NPI 1811951999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922116722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 G ST NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011812",
"telephone_number": "580-224-2900",
"fax_number": "580-224-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 G ST NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011812",
"telephone_number": "580-224-2900",
"fax_number": "580-224-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY A ROTHER, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROTHER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-224-2900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OK",
"license": "17679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK LICENSE #",
"identifier": "17679",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS 12 DIGIT #",
"identifier": "442605098-002",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "1811951999",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.