Mi Clinica LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MI CLINICA LLC

Practice address

4200 S May Ave Ste D
Oklahoma City, OK 73119-3200

Phone

(405) 482-8221

Fax

(405) 421-9640

NPI assigned

Oct 9, 2018

Organization subpart

No

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

Authorized official

Name

Gregory Joseph Bijak, MDNPI 1750301198

Title

Manager

Phone

(505) 270-3823

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory J Bijak, MD

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1750301198
  NPD Authorized official

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1083189724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 RIVERWALK DR STE 202",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602700",
            "telephone_number": "405-482-8221",
            "fax_number": "405-421-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S MAY AVE STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731193200",
            "telephone_number": "405-482-8221",
            "fax_number": "405-421-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CLINICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "BIJAK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-270-3823",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Praxediz A Meza, MD
• Sara Meza
• Rachad Mhawej, MD
• MHK Behavioral Services, LLC
• MHM Support Services
• Mia Bush, LPC-S, Ladc/MH, PLLC
• Osamah Tahir Mian
• Michael D Elder MD Inc
• Michael D. Allen, DDS, Ms, Inc.
• Michael Duncan, M.D., P.C.

• Primary Care Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.