Organization Active NPI

Comcare LLC

  • Family Medicine Physician
  • Stillwater, OK
National Provider Identifier
1013373695
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23029 Issued in OK
Legal business name
COMCARE LLC
Practice address
1417 S Western Rd
Stillwater, OK 74074-6957
Phone
(405) 470-3223
Fax
(405) 470-3224
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Justin Turner
Title
Chief Executive Officer
Phone
(405) 470-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 23029 OK Primary

Addresses

Primary practice location

1417 S Western Rd
Stillwater, OK 74074-6957

Mailing address

5909 NW Expressway
Suite 300
Oklahoma City, OK 73132-5161
Phone (405) 605-3970

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1013373695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 NW EXPRESSWAY",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325161",
            "telephone_number": "405-605-3970",
            "fax_number": "405-605-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S WESTERN RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746957",
            "telephone_number": "405-470-3223",
            "fax_number": "405-470-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "405-470-3220"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.