Active NPI
Whinery Family Medicine PLLC
- Family Medicine Physician
- Elk City, OK
National Provider Identifier
1013170752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26230
- Legal business name
- WHINERY FAMILY MEDICINE PLLC
- Practice address
- 1710 W 3Rd St
Suite 103
Elk City, OK 73644-5159 - Phone
- (580) 225-1290
- Fax
- (580) 225-2178
- NPI assigned
- Jul 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Royal B Whinery, MD
- Title
- Physician Owner
- Phone
- (580) 225-2511
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26230 | OK | Primary |
Addresses
Primary practice location
1710 W 3Rd St
Suite 103
Elk City, OK 73644-5159
Mailing address
1710 W 3Rd St
Suite 103
Elk City, OK 73644-5159
Phone (580) 225-1290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200202430B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1900 W 2nd St
Ste A
Elk City, OK 73644
Phone (580) 225-2663
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Elk City, OK
- NPI 1336361773
-
- Family Nurse Practitioner
- Elk City, OK
- NPI 1891301925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1013170752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 W 3RD ST",
"address_2": "SUITE 103",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736445159",
"telephone_number": "580-225-1290",
"fax_number": "580-225-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W 3RD ST",
"address_2": "SUITE 103",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736445159",
"telephone_number": "580-225-1290",
"fax_number": "580-225-2178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHINERY FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "WHINERY",
"authorized_official_first_name": "ROYAL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "580-225-2511",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "26230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200202430B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk City, OK
- Western Oklahoma Anesthesia Consultants PLLC
- Western Oklahoma ENT, PLLC
- Western Oklahoma Pain Specialists LLC
- Western Oklahoma Urology PLLC
- Western Oklahoma Wellness LLC
- Royal Bradley Whinery, MD
- Bridget D White
- Maybelle S Whu, MD
- William M Featherston, M.D., P.C.
- Williams Medical Group Practice, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.