Memorial Hospital of Texas County Authority
Organization Active NPI Orthopaedic Surgery Physician · Guymon, OK
NPI 1992009039 · NPPES record last updated Feb 17, 2023
Key facts
- NPI
- 1992009039
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY
- Practice address
- 1753 N Roosevelt St
Guymon, OK 73942-2763 - Phone
- (580) 338-7792
- Fax
- (580) 338-7797
- NPI assigned
- Jan 4, 2011
- Organization subpart
- No
Authorized official
- Name
- William Ermann
- Title
- Ceo
- Phone
- (580) 338-6515
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 14
Practitioners 10
-
Sergio G Demier, D.O.
-
Selene Garcia-Van Camp, APRN FNP-C
-
Julie M Hawks-Baugh, APRN, CNP
-
Gary Warren Hillman, D.O.
-
Kent Thomas King, M.D.
-
Branislav Schifferdecker, M.D.
-
Kimberly Kay Wadley, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Guymon Memorial Hospita
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
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
- High Plains Bone and Joint Clinic
Other providers in Guymon, OK
- Memorial Hospital of Texas County Authority
- Memorial Hospital of Texas County Authority
- Memorial Hospital of Texas County Authority
- Memorial Hospital of Texas County Authority
- Memorial Hospital of Texas County Authority
- Nayely Mesta Esquivel
- Holly M Mikles
- Kacey L. Miller
- Fatima Molina
- Jerry Moore
All providers in Guymon, OK · Orthopaedic Surgery 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 Feb 17, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.