NPIMap

Individual provider Active NPI

Seth David Nodine, MD

  • Family Medicine Physician
  • Claremore, OK
National Provider Identifier
1972555993
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23476 Issued in 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
Last updated
May 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23476 OK Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050114000456 OK Practitioner - General Practice 4183673320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Oklahoma College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23476OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Sep 1, 2011 Accepting new patients
Ahs Claremore Regional Hospital, LLC Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Ahs Claremore Regional Hospital LLC CurrentSince Jul 1, 2020 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Sep 1, 2011 Accepting new patients
Ahs Claremore Regional Hospital, LLC. Past Accepting new patients

Locations

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

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

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

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

Dept 1206
Tulsa, OK 74182

Dept 1252
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: snodine113000@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus- VinitaVinita, OK, CCN 371603 Hospice Contracted Managing Employee Jan 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1972555993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE",
            "address_2": "STE 101",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74017",
            "telephone_number": "918-342-3633",
            "fax_number": "918-342-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE AVE",
            "address_2": "STE 101",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173169",
            "telephone_number": "918-342-3633",
            "fax_number": "918-342-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODINE",
        "first_name": "SETH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.