Royal Charter Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROYAL CHARTER MEDICAL LLC

Practice address

5721 NW 132ND St
Oklahoma City, OK 73142-4437

Phone

(405) 557-1200

NPI assigned

Feb 20, 2025

Last updated

Feb 20, 2025By 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

Jason Martin

Title

Owner

Phone

(405) 557-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Ellen Denton, APRN-CNP

  • Family Nurse Practitioner
  • Tahlequah, OK
  • NPI 1013603232
  Medicare reassignment Care Compare group NPD
• Randy Blake Patterson, M.D.

  • General Practice Physician
  • Tulsa, OK
  • NPI 1194109066
  Medicare reassignment Care Compare group NPD
• Corey D Finch Sr., MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1407903644
  Medicare reassignment NPD
• James B Krablin, MD

  • Internal Medicine Physician
  • Lexington, OK
  • NPI 1679509657
  Medicare reassignment NPD
• Rachel Machado

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1831053537

  Single Specialty

  Medicare reassignment NPD
• Nadine Touayem Mbou, APRN-DNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1700302072
  Medicare reassignment NPD
• Ronald Lynn Bennett, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1437129020
  Medicare reassignment

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1023814191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 NW 132ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424437",
            "telephone_number": "405-557-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 NW 132ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731424437",
            "telephone_number": "405-557-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL CHARTER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-557-1200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy W Bankhead MD PC
• Alice Roy
• Jennifer Anne Roy, R.N.
• Lawrence J. Roy, M.D.
• Reagan Sunshyne Roy
• Royal Treatment Hair Restoration Center
• Hannah Grace Royalty, PA-C
• Kyle Joseph Royalty, MD
• Anna Catherine Royce, MD
• Clayton Howard Royder, DO

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, 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 Feb 20, 2025; 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.