Active NPI
Cynthia L Nydick, D.O.
- Surgery Physician
- Moore, OK
National Provider Identifier
1992714901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4220
- Practice address
- 520 S Telephone Rd
Suite 100
Moore, OK 73160-5423 - Phone
- (405) 703-3000
- Fax
- (405) 703-1444
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4220 | OK | Primary |
Addresses
Primary practice location
520 S Telephone Rd
Suite 100
Moore, OK 73160-5423
Mailing address
PO Box 722808
Norman, OK 73070-9137
Phone (405) 692-2118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130730000296 | TX | Practitioner - General Surgery | 6901800135 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Oklahoma State University College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chickasaw Nation Division of Health Chickasaw Nation Medical Center
Practice addresses (Care Compare)
1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980
Hospital & facility affiliations
- Chickasaw Nation Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 21 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Fairfax Healthcare Properties,LLC | Past | Accepting new patients | |
| Fairfax Healthcare Properties,L.L.C. | Past | Accepting new patients |
Locations
1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570
2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181
1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000
817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392
Dept 2269
Tulsa, OK 74182
Interoperability endpoints
- cnydick21940@direct.chickasawnationhealth.net
Organizations & group practices 9
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.
-
- Home Health Agency
- Ada, OK
- NPI 1811739071
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Ada, OK
- NPI 1487715587
-
- Ambulatory Surgical Clinic/Center
- Ada, OK
- NPI 1982863791
-
- Durable Medical Equipment & Medical Supplies
- Ada, OK
- NPI 1295399095
-
- Primary Care Clinic/Center
- Ardmore, OK
- NPI 1730249186
-
- Medicare Defined Swing Bed Hospital Unit
- Fairfax, OK
- NPI 1922143098
-
- Critical Access Hospital
- Fairfax, OK
- NPI 1376554006
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1992714901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 722808",
"city": "NORMAN",
"state": "OK",
"postal_code": "730709137",
"telephone_number": "405-692-2118",
"fax_number": "405-691-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S TELEPHONE RD",
"address_2": "SUITE 100",
"city": "MOORE",
"state": "OK",
"postal_code": "731605423",
"telephone_number": "405-703-3000",
"fax_number": "405-703-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYDICK",
"first_name": "CYNTHIA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "4220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.