Organization Active NPI

Enid Urology Associates, Inc.

  • Urology Physician
  • Enid, OK
National Provider Identifier
1942301916
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ENID UROLOGY ASSOCIATES, INC.
Practice address
615 E Oklahoma Ave
Suite 202
Enid, OK 73701-5952
Phone
(580) 233-3230
Fax
(580) 233-0698
NPI assigned
Sep 25, 2006
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Dr. Rodney L Worthen II, M.D.NPI 1336141696
Title
President
Phone
(580) 233-3230

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Radiation Oncology Physician 2085R0001X 24087 OK
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

615 E Oklahoma Ave
Suite 202
Enid, OK 73701-5952

Mailing address

615 E Oklahoma Ave
Suite 202
Enid, OK 73701-5952
Phone (580) 233-3230

Other identifiers 2

IdentifierTypeStateIssuer
100729700AMedicaidOK
C09031OtherOKRR MEDICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040603001408 OK Part B Supplier - Clinic/Group Practice 6305828211 Receives reassigned benefits from 5 practitioners
Practice locations: Enid, OK; Fairview, OK; Ponca City, OK; Shattuck, OK; Watonga, OK
O20100930035142 OK DME Supplier - Physician - Urology 6305828211 Practice locations: Enid, OK

National Provider Directory

National Provider Directory

Locations

111 Patton Dr
#B
Ponca City, OK 74601
Phone (580) 233-3230

111 Patton Dr
Ste B
Ponca City, OK 74601

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1942301916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE",
            "address_2": "SUITE 202",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015952",
            "telephone_number": "580-233-3230",
            "fax_number": "580-233-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE",
            "address_2": "SUITE 202",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015952",
            "telephone_number": "580-233-3230",
            "fax_number": "580-233-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID UROLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "WORTHEN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-233-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "24087",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100729700A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "C09031",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.