NPIMap

Organization Active NPI

Healthcare Express, LLP

  • Family Medicine Physician
  • Choctaw, OK
National Provider Identifier
1033666151
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTHCARE EXPRESS, LLP
Practice address
14321 NE 23Rd Street
Choctaw, OK 73020
Phone
(405) 342-0255
NPI assigned
Sep 7, 2016
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Timothy L. Reynolds, MDNPI 1558362194
Title
Managing Partner
Phone
(903) 791-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OK Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

14321 NE 23Rd Street
Choctaw, OK 73020

Mailing address

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 831-7270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150514000414 OK Part B Supplier - Clinic/Group Practice 9739131442 Receives reassigned benefits from 38 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Choctaw, OK; Moore, OK; Edmond, OK; Midwest City, OK
O20180328003154 OK DME Supplier - Physician - General Practice 9739131442 Practice locations: Choctaw, OK

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
37D2120433Healthcare Express-Choctaw14321 NE 23Rd St, Choctaw, OK 73020Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1033666151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-831-7270",
            "fax_number": "903-793-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14321 NE 23RD STREET",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "73020",
            "telephone_number": "405-342-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE EXPRESS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "903-791-9355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.