JOHN WILLIAM SURBECK
NPI 1124614003
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK
About John William Surbeck NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN WILLIAM SURBECK (NPI 1124614003) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John William Surbeck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Surbeck's NPI number?
The NPI number for John Surbeck is 1124614003. It was assigned to this individual provider in the NPPES registry on December 15, 2020.
Where is John Surbeck located?
John Surbeck practices at 940 NE 13th St, Oklahoma City, OK 73104. The listed phone number is (405) 271-6458.
What is John Surbeck's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is John Surbeck enrolled in Medicare?
Yes. John Surbeck is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Surbeck was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John William Surbeck · NPI 1124614003
Student in an Organized Health Care Education/Training Program provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since December 15, 2020.
## Identity
- **NPI:** 1124614003 (Entity type: Individual)
- **Enumerated:** December 15, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 940 NE 13TH ST, Oklahoma City, OK 73104-5008
- **Phone:** (405) 271-6458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124614003) · Data from the CMS NPPES public registry.