Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deacon Vice, DO

Individual provider Emergency Medicine Physician · NPI 1073934352

Deacon Vice, DO is an Emergency Medicine in Oklahoma City, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2013, 13 years ago. Practices with Grady Memorial Hospital, a 47-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
13
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4200 S Douglas Ave Ste 306
Oklahoma City, OK 73109-3223
Phone: (405) 636-7709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 4801 Integris Pkwy, Edmond, OK 73034-8864 — (405) 713-4565
  • 4401 S Western Ave, Oklahoma City, OK 73109-3413 — (405) 636-7709
  • 3300 Nw Expwy, Oklahoma City, OK 73112-4418 — (405) 949-3011
  • 5501 N Portland Ave, Oklahoma City, OK 73112-2074 — (405) 604-6000
  • 1323 W 6th Ave, Stillwater, OK 74074-4306 — (405) 742-5454
  • 900 17th St, Woodward, OK 73801-2448 — (580) 256-5511
  • 1201 Health Center Pkwy, Yukon, OK 73099-6381 — (405) 717-6800

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5644 (OK)

Record details

NPI number1073934352
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 3, 2014
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Grady Memorial Hospital — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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