Organization Active NPI

Conley Medical Services, PLLC

  • Family Medicine Physician
  • Durant, OK
National Provider Identifier
1003060831
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4448 Issued in OK
Legal business name
CONLEY MEDICAL SERVICES, PLLC
Doing business as
Conley Care Clinic
Practice address
1323 N 16TH Ave
Durant, OK 74701-2134
Phone
(580) 745-1011
Fax
(580) 745-5332
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John D Conley, DONPI 1659438034
Title
Physician
Phone
(580) 745-1011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4448 OK Primary

Addresses

Primary practice location

1323 N 16TH Ave
Durant, OK 74701-2134

Mailing address

1323 N 16TH Ave
Durant, OK 74701-2134
Phone (580) 745-1011

Other names 1

  • Conley Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220621000843 OK Part B Supplier - Clinic/Group Practice 9638236136 Receives reassigned benefits from 1 practitioner
Practice locations: Durant, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2260458Conley Care Clinic1323 N 16TH Ave, Durant, OK 74701Certificate of waiverMay 18, 2028

National Provider Directory

National Provider Directory

Locations

1327 N 16th Ave
Durant, OK 74701
Phone (580) 745-1011

207 E Taliaferro St
Madill, OK 73446
Phone (580) 667-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1003060831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012134",
            "telephone_number": "580-745-1011",
            "fax_number": "580-745-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012134",
            "telephone_number": "580-745-1011",
            "fax_number": "580-745-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONLEY MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-745-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conley Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.