Pacific Physician Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PACIFIC PHYSICIAN SERVICES LLC

Practice address

19 S Main St
Owasso, OK 74055-3118

Phone

(918) 274-9999

Fax

(918) 274-1094

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Karen Flinn

Title

VP

Phone

(214) 473-3373

Specialties & licenses 1

Addresses

Tax ID family

Hattiesburg Neurosurgery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pacific Physician Services

  dba Portage Lakes Internal Medicine (DME)

  • Durable Medical Equipment & Medical Supplies
  • Akron, OH
  • NPI 1104019983
  NPD tax ID
• Pacific Physician Services, LLC

  dba Hattiesburg Neurosurgery

  • General Practice Physician
  • Hattiesburg, MS
  • NPI 1326003856
  NPD tax ID

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023174802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S MAIN ST",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553118",
            "telephone_number": "918-274-9999",
            "fax_number": "918-274-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S MAIN ST",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553118",
            "telephone_number": "918-274-9999",
            "fax_number": "918-274-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLINN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "214-473-3373",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owasso Periodontics and Dental Implants
• Owasso Public Schools
• Owasso Speech Co LLC (Owasso Speech Co)
• Owasso Wellness PLLC (Northside Family Chiropractic)
• Stephan Owings
• Palliative Connections of Oklahoma Inc
• Nicole Paoli Morales
• Amanda Partridge, P.A.-C
• Keith Stacy Patterson, D.O.
• Paul a Cook MD PLLC

• Family Medicine Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.