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
- Title
- Owner
- Phone
- (405) 964-6463
Practitioners 2
-
Kimberly K Hanigar, M.D.
National Provider Directory
Locations
704 S 8th St
McLoud, OK 74851
Phone (405) 964-6463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100126130C | Medicaid | OK |
Other names
- McLoud Family Practice
NPI Registry JSON
{
"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
- Keith a. Mehner, D.D.S.,P.L.L.C
- Kickapoo Behavioral Health
- Kickapoo Health Center
- Kickapoo Tribal Health Center
- Kickapoo Tribal Health Center
- Tiara Donn McKensie Kruta
- Garrett William Lafleur
- Lisa A Lauderdale
- Megan Buckner Ledford
- Chandra Lone Wolf
All providers in McLoud, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.