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Dr. Ellen E Squire , MD

Pediatrics β€’ Norman, OK

Active NPI 1558397380 Individual Practitioner Female Practitioner
Practice location in NPPES

15951 Little Axe Dr
Norman, OK 730269088

Call 4054470300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15951 Little Axe Dr

Norman, OK 730269088

Telephone 4054470300
Fax 4057017914
Organization at the Same NPPES Address or Phone
Absentee Shawnee Tribal Health Authority, Inc. Facility NPI 1699790543

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Hays, KS; Shawnee, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Norman and Oklahoma

18 active clinicians are listed under Pediatrics with a practice address in Norman, OK (707 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Norman

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OK 32591

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
200693030A (OK)

Secondary Practice Locations

2029 Gordon Cooper Dr

Shawnee, OK 748019005

Phone: 4058785850

2214 Canterbury Dr, Suite 204

Hays, KS 676012386

Phone: 7856232360

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

36 listed
Zachrey Aplin , PA-C

Physician Assistant

NPI 1184227332

Physician Assistant (Certified)

Dr. Mitchell Bloomquist , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1891357612

Doctor of Podiatric Medicine

Kari Campbell , APRN

Nurse Practitioner - Family

NPI 1275167397

Advanced Practice Registered Nurse

Mollie Dilbeck , RN

Nurse Practitioner - Family

NPI 1710498233

Registered Nurse

Dr. Toni Donahoo , DPT

Physical Therapist

NPI 1750461851

Doctor of Physical Therapy

Jennifer Enoch , MSN, APRN

Nurse Practitioner - Family

NPI 1588165641

Master of Science in Nursing, Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active December 21, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address December 21, 2017

Registered at 15951 LITTLE AXE DR, NORMAN, OK 730269088 (Tel: 4054470300)

πŸ“
Updated Practice Location December 21, 2017

Registered at 2214 CANTERBURY DR, SUITE 204, HAYS, KS 676012386 (Tel: 7856232360)

πŸ‘€
Provider Name / Credentials Updated December 21, 2017

Recorded as ELLEN SQUIRE, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2017

Pediatrics (license number reported to NPPES: OK 32591)

βœ…
NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 23, 2011

Registered at 2214 CANTERBURY DR, SUITE 204, HAYS, KS 676012386 (Tel: 7856232360)

πŸ“
Business Mailing Address (Initial Record) November 23, 2011

Registered at 2214 CANTERBURY DR, SUITE 204, HAYS, KS 676012386 (Tel: 7856232360)

πŸ‘€
Provider Name / Credentials (Initial Record) November 23, 2011

Recorded as ELLEN SQUIRE, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Pediatrics (license number reported to NPPES: MI 4301085963)

🟒
Initial NPI Registration & Enumeration June 23, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558397380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2006
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

15951 Little Axe Dr

Norman, OK 730269088

Phone: 4054470300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.