Urgent Care of Green Country PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

URGENT CARE OF GREEN COUNTRY PLLC

Practice address

4115 Redden
Pryor, OK 74361-9192

Phone

(918) 825-7555

Fax

(918) 825-7556

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Robert Kovacs, DO

Title

Partner/Co Owner

Phone

(918) 274-8555

Specialties & licenses 1

Addresses

Other identifiers 3

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Urgent Care of Green Country PLLC

  • Urgent Care Clinic/Center
  • Owasso, OK
  • NPI 1134273873

  Member Of

  NPD member

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1043460694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1044",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740551044",
            "telephone_number": "918-343-6000",
            "fax_number": "918-343-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 REDDEN",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743619192",
            "telephone_number": "918-825-7555",
            "fax_number": "918-825-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF GREEN COUNTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER/CO OWNER",
        "authorized_official_telephone_number": "918-274-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "200094640F",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7835422",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094640D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasandra Turbett
• Hannah Nicole Turner
• Tamara Tenae Tyler, RN
• Elizabeth Tyson
• Kaleigh Joy Underwood Mallory
• Tina Michell Van Horn, MS, CCC-SLP
• Raquel Vann-Moore, COTA/L
• Tracy Vann
• Raymond Varasse
• Sharon Marie Varasse

• Urgent Care Clinic/Center in Pryor, OK
• Providers in Pryor, OK by specialty
• Urgent Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.