Active NPI
Muscogee Creek Nation
- Family Medicine Physician
- Okmulgee, OK
National Provider Identifier
1013922624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MUSCOGEE CREEK NATION
- Doing business as
- Creek Nation Health System
- Practice address
- 1801 E 4TH St
Lackey Hall South
Okmulgee, OK 74447-3942 - Phone
- (918) 756-3334
- Fax
- (918) 756-3993
- NPI assigned
- Jul 30, 2006
- 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
- Judy Aaron
- Title
- Chief Executive Officer
- Phone
- (918) 756-3334
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Registered Dietitian | 133V00000X | |||
| Optometrist | 152W00000X | |||
| Pharmacist | 183500000X | |||
| Pharmacy Technician | 183700000X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Health Information Specialist/Technologist | 246Y00000X | |||
| Radiologic Technologist | 247100000X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Women's Health Nurse Practitioner | 363LW0102X | |||
| Clinical Nurse Specialist | 364S00000X |
Addresses
Primary practice location
1801 E 4TH St
Lackey Hall South
Okmulgee, OK 74447-3942
Mailing address
PO Box 1312
Okmulgee, OK 74447-1312
Phone (918) 756-3334
Other names 1
- Creek Nation Health System
National Provider Directory
National Provider DirectoryLocations
800 W Forrest Ave
Eufaula, OK 74432
Phone (918) 618-2460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Coweta, OK
- NPI 1063445930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1013922624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1312",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744471312",
"telephone_number": "918-756-3334",
"fax_number": "918-759-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E 4TH ST",
"address_2": "LACKEY HALL SOUTH",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744473942",
"telephone_number": "918-756-3334",
"fax_number": "918-756-3993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSCOGEE CREEK NATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "AARON",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "918-756-3334"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "246Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Creek Nation Health System",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.