Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558397380 Individual Practitioner Female Practitioner

Dr. Ellen E Squire , MD

Pediatrics • Norman, OK

Professional Overview & Biography Verified Profile Summary

Dr. Ellen Squire, MD is a registered healthcare professional specializing in Pediatrics in Norman, OK. Practice services are available at 15951 LITTLE AXE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15951 Little Axe Dr

Norman, OK 730269088

Telephone 4054470300
Fax 4057017914
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Norman, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
18 Specialists

Practicing in Norman, OK (730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider 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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Limei Yang , MD

Psychiatry & Neurology - Psychiatry

NPI 1003049123

Doctor of Medicine (M.D.)

NPI 1013173715

Doctor of Optometry

Kelly Wray , LADC CANDIDATE

Counselor - Addiction (Substance Use Disorder)

NPI 1013291525

LADCCANDIDATE

Rebekah Hamel

Nurse Practitioner - Family

NPI 1013553205
NPI 1013989912

Doctor of Medicine (M.D.)

Matthew Jones

Nurse Practitioner - Family

NPI 1033628367

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active December 21, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 21, 2017

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

📍
Updated Practice Location December 21, 2017

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

👤
Provider Name / Credentials Updated December 21, 2017

Recorded as ELLEN SQUIRE, M.D.

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

Pediatrics (License #32591 in OK)

NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2011

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

📍
Updated Business Mailing Address November 23, 2011

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

👤
Provider Name / Credentials Updated November 23, 2011

Recorded as ELLEN SQUIRE, M.D.

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

Pediatrics (License #4301085963 in MI)

🟢
Initial NPI Registration & Enumeration June 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.