DR. JOHN RAY RESNEDER M.D. NPI 1316989205

NPI Information

NPI: 1316989205
Provider Name: DR. JOHN RAY RESNEDER, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
900 N PORTER AVE
SUITE 110
NORMAN, OK
ZIP 73071
Phone: (405) 366-8900
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DR. John Ray Resneder, M.D. is a specialist in Norman, OK with 46 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. John Ray Resneder, M.D. NPI is 1316989205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1978

The provider's business location address is:

900 N PORTER AVE
SUITE 110
NORMAN, OK
ZIP 73071-424
Phone: (405) 366-8900
Fax: (405) 366-8903

The NPI 1316989205 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 3/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		12326	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C95431	MEDICARE UPIN	OKLAHOMA
2	1770751299	OTHER	OKLAHOMA	NPI GROUP
3	100100950A	MEDICAID	OKLAHOMA
4	731191130	OTHER	OKLAHOMA	TAX ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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