Active NPI
Don B. Cauthen, M.D.
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1962464214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D6980
- Practice address
- 415 SW 59TH St
Oklahoma City, OK 73109-8303 - Phone
- (405) 740-1968
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D6980 | TX | Primary |
Addresses
Primary practice location
415 SW 59TH St
Oklahoma City, OK 73109-8303
Mailing address
415 SW 59TH St
Oklahoma City, OK 73109-8303
Phone (405) 740-1968
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1165367-03 | Medicaid | TX | |
| 080161796 | Other | TX | RR/MEDICARE |
| 1165367-02 | Other | TX | CSHCN |
| 807453 | Other | TX | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140124001344 | TX | Practitioner - Family Practice | 5991602617 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6980 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaf & Relief LLC | Current | Accepting new patients | |
| Today Clinic Central Okc LLC | Family Medicine | Current | Accepting new patients |
| Today Clinic South Okc LLC | Family Medicine | Current | Accepting new patients |
| Today Clinic Texas PLLC | Past | Accepting new patients | |
| Simple Clinic, LLC | Family Medicine | Past | Accepting new patients |
Locations
701 NE 36th St
Oklahoma City, OK 73105
Phone (405) 445-0869
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1659859346
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1770058133
Family Medicine
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1871068239
Family Medicine
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1871035022
-
- Primary Care Clinic/Center
- Lewisville, TX
- NPI 1033583984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1962464214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 SW 59TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731098303",
"telephone_number": "405-740-1968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SW 59TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731098303",
"telephone_number": "405-740-1968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUTHEN",
"first_name": "DON",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D6980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1165367-03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "080161796",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "1165367-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "807453",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.