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Contact Information

JAMES R COLVERT III, MD
615 E OKLAHOMA AVE
STE 202
ENID, OK73701-5952
 Phone: 580-233-3230
 Fax: 580-233-0698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JAMES R COLVERT III · (Male)

NPI Number 1194727461
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2005
Last updated 08/26/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 21222
  • OK Medicaid 200015940A
  • OK Other P000052000 RAILROAD M/C
Hospital affiliation(s)
  • PONCA CITY MEDICAL CENTER - (Acute Care)
    1900 NORTH 14TH STREET
    PONCA CITY, OK 74601
  • ST MARY'S REGIONAL MEDICAL CENTER - (Acute Care)
    305 SOUTH 5TH STREET
    ENID, OK 73701
  • STILLWATER MEDICAL CENTER - (Acute Care)
    1323 WEST 6TH STREET
    STILLWATER, OK 74076
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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