Seth David Nodine, MD
Individual provider Active NPI Family Medicine Physician · Claremore, OK
NPI 1972555993 · NPPES record last updated May 6, 2014
Key facts
- NPI
- 1972555993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 23476 (OK)
- Practice address
- 1501 N Florence Ave
Ste 101
Claremore, OK 74017-3169 - Phone
- (918) 342-3633
- Fax
- (918) 342-8959
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- University of Oklahoma College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ahs Claremore Regional Hospital LLC
Practice addresses (Care Compare)
1501 N Florence Ave
Suite 101 201 250 and 300
Claremore, OK 74017-3179
Phone (918) 579-3627
201 W Blue Starr Dr
Claremore, OK 74017-4227
Phone (918) 341-5200
Hospital & facility affiliations
- Enhabit Home Health of Northeast Oklahoma
- Angels Care Home Health of East Oklahoma
- Amedisys Home Health
- Compassus - Vinita
- Hillcrest Hospital Claremore
- Hillcrest Hospital Pryor
- Hillcrest Medical Center
- Hillcrest Hospital South
- Saint Francis Hospital, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Compassus- Vinita |
Hospice | Contracted Managing Employee | Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050114000456 | OK | Practitioner - General Practice | 4183673320 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Family Medicine | Current |
Accepting new patients |
| Ahs Oklahoma Physician Group, LLC | Current |
Accepting new patients | |
| Ahs Claremore Regional Hospital LLC | Current |
Accepting new patients | |
| Ahs Claremore Regional Hospital, LLC | Family Medicine | Current |
Accepting new patients |
| Ahs Claremore Regional Hospital, LLC. | Past | Accepting new patients |
Locations
1501 N Florence Ave
Ste 101
Claremore, OK 74017
Phone (918) 341-4532
1501 N Florence Ave
Ste 101300
Claremore, OK 74017
Phone (918) 579-3627
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
1501 N Florence Ave
Ste 300
Claremore, OK 74017
Phone (918) 341-5200
201 W Blue Starr Dr
Claremore, OK 74017
Phone (918) 341-1311
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
Dept 1252
Tulsa, OK 74182
Interoperability endpoints
- snodine113000@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23476 | OK | Yes |
Addresses
Primary practice location
1501 N Florence Ave
Ste 101
Claremore, OK 74017-3169
Mailing address
1501 N Florence
Ste 101
Claremore, OK 74017
Phone (918) 342-3633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200038990C | Medicaid | OK |
Other providers in Claremore, OK
- Tanner Nielsen
- Jamison Timothy Niewoehner
- Lenard Scott Niezen
- Madison L Nightengale
- April Noble
- Whitney E Norman
- North Park Surgery Center
- Northeastern Oklahoma Urology, P.C.
- Courtney Lynn Nugent
- Bih Rhoda Numfor
All providers in Claremore, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.