Individual provider Active NPI

Andrew Michael Eaton, D.O.

  • Emergency Medicine Physician
  • El Reno, OK
National Provider Identifier
1922449289
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5372 Issued in OK
Practice address
2115 Parkview Dr
El Reno, OK 73036-2109
Phone
(405) 262-2640
Fax
(405) 422-2521
NPI assigned
Jul 15, 2013
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5372 OK Primary

Addresses

Primary practice location

2115 Parkview Dr
El Reno, OK 73036-2109

Mailing address

2115 Parkview Dr
El Reno, OK 73036-2109
Phone (405) 262-2640

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140129001341 OK Practitioner - Emergency Medicine 0648404715 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5372OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Kingfisher, Inc Current Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 11, 2016 Accepting new patients
Mercy Hospital Healdton, Inc. CurrentSince Jul 11, 2016 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince Jul 11, 2016 Accepting new patients
Mercy Hospital Healdton, Inc Current Accepting new patients
Mercy Hospital Healdton, Inc. Current Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Jun 11, 2018 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
Mercy Hospital Tishomingo, Inc Emergency Medicine CurrentSince Jun 11, 2018 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1922449289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PARKVIEW DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362109",
            "telephone_number": "405-262-2640",
            "fax_number": "405-422-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PARKVIEW DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362109",
            "telephone_number": "405-262-2640",
            "fax_number": "405-422-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "5372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.