Organization Active NPI

Whinery Family Medicine PLLC

  • Family Medicine Physician
  • Elk City, OK
National Provider Identifier
1013170752
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26230 Issued in OK
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

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Royal B Whinery, MDNPI 1336361773
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200202430BMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080926000568 OK Part B Supplier - Clinic/Group Practice 7517034911 Receives reassigned benefits from 2 practitioners
Practice locations: Elk City, OK

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.