Kimberly K Hanigar

Organization Active NPI Family Medicine Physician · McLoud, OK

NPI 1013072644 · NPPES record last updated Jun 19, 2008

Key facts

NPI
1013072644
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
KIMBERLY K HANIGAR
Practice address
704 S 8TH Street
McLoud, OK 74851-0530
Phone
(405) 964-6463
Fax
(405) 964-2412
NPI assigned
Dec 26, 2006
Organization subpart
No

Authorized official

Name
Dr. Kimberly K Hanigar, MD NPI 1609858331
Title
Owner
Phone
(405) 964-6463

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

Practitioners 2

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

National Provider Directory

Locations

704 S 8th St
McLoud, OK 74851
Phone (405) 964-6463

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

704 S 8TH Street
McLoud, OK 74851-0530

Mailing address

PO Box 530
704 S 8TH Street
McLoud, OK 74851-0530
Phone (405) 964-6463

Other identifiers

IdentifierTypeStateIssuer
100126130CMedicaidOK

Other names

  • McLoud Family Practice Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2008.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013072644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "address_2": "704 S 8TH STREET",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748510530",
            "telephone_number": "405-964-6463",
            "fax_number": "405-964-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S 8TH STREET",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748510530",
            "telephone_number": "405-964-6463",
            "fax_number": "405-964-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY K HANIGAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HANIGAR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-964-6463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126130C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLoud Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McLoud, OK

All providers in McLoud, OK · Family Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.