NPIMap

Organization Active NPI

PHP Ok PC

  • Family Medicine Physician
  • Owasso, OK
National Provider Identifier
1013608850
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHP OK PC
Practice address
8787 N Owasso Expy Ste J
Owasso, OK 74055-4482
Phone
(918) 516-2296
Fax
(918) 516-2801
NPI assigned
May 15, 2023
Organization subpart
Yes
Parent organization
PHP OK PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Angie McKinney
Title
Operations Manager
Phone
(405) 577-6571

Specialties & licenses 1

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

Addresses

Primary practice location

8787 N Owasso Expy Ste J
Owasso, OK 74055-4482

Mailing address

1820 Commons Cir Ste B
Yukon, OK 73099-9518
Phone (405) 265-2778

Other names 1

  • Primary Health Partners Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2283218Primary Health Partners - Owasso8787 N Owasso Expressway, Ste J, Owasso, OK 74055Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
PHP Ok PC10 organizations share this tax ID, including this one
Part of
PHP Ok PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1013608850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 COMMONS CIR STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999518",
            "telephone_number": "405-265-2778",
            "fax_number": "405-494-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 N OWASSO EXPY STE J",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554482",
            "telephone_number": "918-516-2296",
            "fax_number": "918-516-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHP OK PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHP OK PC",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "405-577-6571"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.