Individual provider Active NPI

Andrea Partida, D.O.

  • Obstetrics & Gynecology Physician
  • Enid, OK
National Provider Identifier
1992151948
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6228 Issued in OK
Practice address
620 S Madison St Ste 304
Enid, OK 73701-7270
Phone
(580) 977-1902
Fax
(580) 233-6106
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 6228 OK Primary

Addresses

Primary practice location

620 S Madison St Ste 304
Enid, OK 73701-7270

Mailing address

5300 N Independence Ave Ste 220
Oklahoma City, OK 73112-5550
Phone (580) 977-1902

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201009002088 OK Practitioner - Obstetrics/Gynecology 0446670624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

620 S Madison St
107 Integris Womens HLTH Assoc O
Enid, OK 73701-7270
Phone (580) 977-1854

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6228OKMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Obstetrics & Gynecology CurrentSince Oct 26, 2020 Accepting new patients
Integris Health Edmond, Inc Past Accepting new patients
Integris Bass Baptist Health Center Past Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients

Locations

4833 Integris Pkwy
Ste 200
Edmond, OK 73034
Phone (405) 657-3825

620 S Madison St
Ste 107
Enid, OK 73701
Phone (580) 213-9786

620 S Madison St
Ste 304
Enid, OK 73701
Phone (580) 242-1300

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 220
Oklahoma City, OK 73112

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

Interoperability endpoints

  • Direct secure messaging: apartida67052@direct.integrisok.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1992151948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125550",
            "telephone_number": "580-977-1902",
            "fax_number": "580-233-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S MADISON ST STE 304",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017270",
            "telephone_number": "580-977-1902",
            "fax_number": "580-233-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTIDA",
        "first_name": "ANDREA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "6228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.