Active NPI
Physician'S Mobile Health Services
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1073901427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18951
- Legal business name
- PHYSICIAN'S MOBILE HEALTH SERVICES
- Practice address
- 5009 N Pennsylvania Ave Ste 111
Oklahoma City, OK 73112-8888 - Phone
- (405) 840-0284
- NPI assigned
- Jan 7, 2015
- 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
- Mr. Robert Westcott, M.D.
- Title
- President
- Phone
- (405) 650-6681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18951 | OK | Primary |
Addresses
Primary practice location
5009 N Pennsylvania Ave Ste 111
Oklahoma City, OK 73112-8888
Mailing address
PO Box 608
Pauls Valley, OK 73075-0608
Phone (405) 650-6681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100167810E | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420588800000",
"number": "1073901427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 608",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730750608",
"telephone_number": "405-650-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 N PENNSYLVANIA AVE STE 111",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731128888",
"telephone_number": "405-840-0284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN'S MOBILE HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-07",
"status": "A",
"authorized_official_last_name": "WESTCOTT",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-650-6681",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "18951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100167810E",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.