Organization Active NPI

G E Emde, MD

  • Internal Medicine Physician
  • Stillwater, OK
National Provider Identifier
1972790475
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15365 Issued in OK
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

Updated by the provider on Sep 28, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100251880AMedicaidOK

Other names 1

  • G E EMDE, MD Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.