Hefner West Medical Clinic, P.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

11815 Issued in OK

Legal business name

HEFNER WEST MEDICAL CLINIC, P.C.

Practice address

4400 NW 63Rd St
Oklahoma City, OK 73116-1545

Phone

(405) 942-0090

Fax

(405) 942-8055

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Labid Sam Musallam, M.D.

Title

Physician

Phone

(405) 942-0090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ashraf S Habib, MD

  • Emergency Medicine Physician
  • Ardmore, OK
  • NPI 1780675322
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003858416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NW 63RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161545",
            "telephone_number": "405-942-0090",
            "fax_number": "405-942-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NW 63RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161545",
            "telephone_number": "405-942-0090",
            "fax_number": "405-942-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEFNER WEST MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MUSALLAM",
        "authorized_official_first_name": "LABID",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-942-0090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "OK",
            "license": "11815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hefner Eye Care & Optical Center, L.L.C.
• Hefner MRI Associates LLC
• Hefner Pet Associates LLC
• Hefner Pointe Youth Optical
• Hefner Road Family Dental Center
• Kimberly Sue Hefner-Poe, O.D.
• Ramin Heidari, DMD
• Jasmine Heidary
• Benjamin Heigle, DO
• Maris Heigle, PA-C

• Legal Medicine in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Legal Medicine in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.