Active NPI
G E Emde, MD
- Internal Medicine Physician
- Stillwater, OK
National Provider Identifier
1972790475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15365
- Legal business name
- G E EMDE, MD
- Practice address
- 821 S Walnut St
Stillwater, OK 74074-4226 - Phone
- (405) 372-4646
- NPI assigned
- Sep 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan E Hattey
- Title
- Office Manager
- Phone
- (405) 372-4646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15365 | OK | Primary |
Addresses
Primary practice location
821 S Walnut St
Stillwater, OK 74074-4226
Mailing address
821 S Walnut St
Stillwater, OK 74074-4226
Phone (405) 372-4646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100251880A | Medicaid | OK |
Other names 1
- G E EMDE, MD
National Provider Directory
National Provider DirectoryLocations
821 S Walnut St
Stillwater, OK 74074
Phone (405) 372-4646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1972790475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 S WALNUT ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744226",
"telephone_number": "405-372-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 S WALNUT ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744226",
"telephone_number": "405-372-4646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G E EMDE, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-28",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "HATTEY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "405-372-4646",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OK",
"license": "15365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100251880A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "G E EMDE, MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.