Ron Arthur Fattor
Pathology (Anatomic Pathology & Clinical Pathology)

Address: 1011 14th Ave Nw, Ardmore, OK 73401-1828
Phone: 5802206652

Ron Arthur Fattor (NPI# 1942270889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1942270889
Entity Type Individual
Full Name Ron Arthur Fattor
Credential MD
Gender Male
Practice Address 1011 14th Ave Nw
Ardmore
OK 73401-1828
Practice Telephone 5802206652
Mailing Address Po Box 1867
Denton
TX 76202-1867
Mailing Telephone 9403846200
Mailing Fax Number 9403827680
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-01-24
Last Update Date 2014-06-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207ZP0102X Pathology · Anatomic Pathology & Clinical Pathology Allopathic & Osteopathic Physicians 17230 OK
No 207ZP0105X Pathology · Clinical Pathology/Laboratory Medicine Allopathic & Osteopathic Physicians G5036 TX

Other Provider Identifier

State Identifier Issuer Type Code
OK 100202970A MEDICAID

Physician Overview

NPI 1942270889
PAC ID by PECOS 1355399841
Professional Enrollment ID I20080702000058
Full Name Ron A Fattor
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Phone Number 4057551515
Gender M
Credential MD
Medical School BAYLOR COLLEGE OF MEDICINE
Graduation Year 1983
Primary Specialty PATHOLOGY
Group Practice PAC ID 1153468921
Number of Group Practice Members 420
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370047 MERCY HOSPITAL ARDMORE, INC

Office Location

Street Address 1011 14TH AVE NW
City ARDMORE
State OK
Zip Code 73401-1828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497743611 Beth M. May Emergency Medicine 1011 14th Ave Nw, Ardmore, OK 73401-1828 2005-10-11
1982177242 Mercy Hospital Ardmore Inc Clinic/Center 1011 14th Ave Nw, Ardmore, OK 73401-1828 2019-01-09
1336610708 Nancy Lanette Cavner Prevention Professional 1011 14th Ave Nw, Ardmore, OK 73401-1828 2018-12-11
1245738145 Trey Ryan Roundtree Nurse Anesthetist, Certified Registered 1011 14th Ave Nw, Ardmore, OK 73401-1828 2018-01-25
1750895603 Hillary K Kotwal Dietitian, Registered 1011 14th Ave Nw, Ardmore, OK 73401-1828 2017-11-29
1801308010 Garrett Newton Nurse Practitioner 1011 14th Ave Nw, Ardmore, OK 73401-1828 2017-10-27
1760993158 Justin Cole Cheek Nurse Practitioner 1011 14th Ave Nw, Ardmore, OK 73401-1828 2017-10-12
1649656125 Carmon Anderson Nurse Practitioner 1011 14th Ave Nw, Ardmore, OK 73401-1828 2015-08-06
1396124236 Mercy Pharmacy Services, LLC Pharmacy 1011 14th Ave Nw, Ardmore, OK 73401-1828 2015-05-26
1043603038 Jason Michael Richardson Nurse Anesthetist, Certified Registered 1011 14th Ave Nw, Ardmore, OK 73401-1828 2015-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174007595 Tawnya Dawn Peery Nurse Practitioner 1108 W. Walnut Drive, Ardmore, OK 73401 2018-09-21
1679055016 Teresa Marie Hernandez Behavior Technician 1219 K St. Nw, Ardmore, OK 73401 2018-09-01
1063991974 Sawyer Rae Shamburger Occupational Therapy Assistant 208 North Praire St, Pilot Point, TX 73401 2018-08-10
1003326703 Meghann Laurel Boehm Marriage & Family Therapist Mft Ardmore Clinic, 2510 Chickasaw Blvd., Ardmore, OK 73401 2017-10-07
1417473521 Chelsye Bacon Peer Specialist 905 Holiday Drive, Ardmore, OK 73401 2017-08-21
1003279746 Jeni Presley Marriage & Family Therapist Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 2016-03-31
1982080909 Alison Hill Pharmacist 1111 N. Commerce, Ardmore, OK 73401 2015-07-31
1316346547 Olivia Larae Carrell Counselor 15 Monroe Street Ne, Ardmore, OK 73401 2014-08-13
1902218548 Tabathya Lane Nurse Practitioner 1001 12th Ave Nw, Suite 100, Ardmore, OK 73401 2014-06-02
1316358815 Sherry Leamy Counselor 1150 W Broadway, 401, Ardmore, OK 73401 2014-05-19
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235153750 Nilesh Gupta Pathology 1011 14th Ave Nw, Ardmore, OK 73401-1828 2006-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316433295 Syed Muhammad Shakaib Quadri Pathology 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 2018-07-03
1184030801 Faaria Akbar Gowani Pathology 940 Stanton L Young Blvd Bmsb 451, Oklahoma City, OK 73104 2014-07-02
1679826754 Beverly J Rubino Pathology 8406 N 123rd East Ave, Owasso, OK 74055-2130 2012-10-26
1629399662 Justin D. Jenkins Pathology 940 Sl Young Blvd, Wp 451, Oklahoma City, OK 73104-5020 2010-06-14
1902049141 Corinna A Irwin Pathology 4208 Sw Lee Blvd Dept Of, Lawton, OK 73505-8331 2009-04-17
1366603953 Rebecca S Simstein Pathology 940 Stanton L Young Blvd # 453, Oklahoma City, OK 73104-5020 2008-06-17
1083874168 Chrystal Marjenhoff Pauley Pathology 940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104-5020 2008-06-12
1720263296 Teresa Scordino Kraus Pathology 940 Stanton L Young Blvd Bmsb-451, Oklahoma City, OK 73104-5020 2008-01-03
1619184900 Xiao-cong Peng Pathology 840 Research Parkway, Dept. of Pathology, Labcorp At Okc, Oklahoma City, OK 73104 2007-05-17
1760520555 Physicians Pathology Inc Pathology 17936 S 273rd W Ave, Bristow, OK 74010 2007-02-02
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Competitor

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City ARDMORE
Zip Code 73401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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