| Dr Derek G Howard, DO | |
|
1023 15th Ave Nw, Ardmore, OK 73401-1810 | |
| (580) 223-7844 | |
| (580) 223-6285 |
| Full Name | Dr Derek G Howard |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 1023 15th Ave Nw, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790880219 | NPI | - | NPPES |
| 100153330A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 3466 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chickasaw Nation Medical Center | Ada, OK | Hospital |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Ardmore Inc | 8123011277 | 14 |
| Chickasaw Nation Division Of Health | 8426957523 | 217 |
| Entity Name | Radiology Services Of Ardmore, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124123963 PECOS PAC ID: 9931162633 Enrollment ID: O20041104000284 |
| Entity Name | Mercy Hospital Ardmore Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578906657 PECOS PAC ID: 8123011277 Enrollment ID: O20100716000114 |
| Entity Name | Mercy Hospital Ardmore Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386741635 PECOS PAC ID: 8123011277 Enrollment ID: O20230303002048 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek G Howard, DO Po Box 518, Ardmore, OK 73402-0518 Ph: (479) 452-9416 | Dr Derek G Howard, DO 1023 15th Ave Nw, Ardmore, OK 73401-1810 Ph: (580) 223-7844 |
Dr. Richard Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1023 15th Ave Nw, Ardmore, OK 73401 Phone: 580-223-7844 Fax: 580-223-6285 |