NPIMap

Organization Active NPI

Memorial Hospital of Texas County Authority

Doing business as High Plains Bone and Joint Clinic

  • Orthopaedic Surgery Physician
  • Guymon, OK
National Provider Identifier
1992009039
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY
Doing business as
High Plains Bone and Joint Clinic
Practice address
1753 N Roosevelt St
Guymon, OK 73942-2763
Phone
(580) 338-7792
Fax
(580) 338-7797
NPI assigned
Jan 4, 2011
Last updated
Feb 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
William Ermann
Title
Ceo
Phone
(580) 338-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1753 N Roosevelt St
Guymon, OK 73942-2763

Mailing address

520 Medical Dr
Guymon, OK 73942-4438
Phone (580) 338-6515

Other names 1

  • High Plains Bone and Joint Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000739 OK Part B Supplier - Clinic/Group Practice 5395647655 Receives reassigned benefits from 11 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Guymon, OK; Hooker, OK

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Guymon Memorial Hospita15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

1753 N Roosevelt St
Guymon, OK 73942
Phone (580) 338-2637

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1992009039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424438",
            "telephone_number": "580-338-6515",
            "fax_number": "580-468-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 N ROOSEVELT ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739422763",
            "telephone_number": "580-338-7792",
            "fax_number": "580-338-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "ERMANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-338-6515"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Plains Bone and Joint Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Plains Bone and Joint Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guymon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.