Active NPI
Prime Health Associates, PLLC
- Family Medicine Physician
- Edmond, OK
National Provider Identifier
1093312548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIME HEALTH ASSOCIATES, PLLC
- Practice address
- 2511 Alexa Ave
Edmond, OK 73034-3458 - Phone
- (405) 822-0130
- NPI assigned
- Oct 7, 2020
- 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
- Kevin White, MD
- Title
- MD/Owner
- Phone
- (405) 822-0130
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
2511 Alexa Ave
Edmond, OK 73034-3458
Mailing address
2511 Alexa Ave
Edmond, OK 73034-3458
Phone (405) 822-0130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689696858 | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ehr |
National Provider Directory
National Provider DirectoryLocations
902 NW 139th Street Pkwy
Edmond, OK 73013
Phone (405) 778-0700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1093312548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 ALEXA AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730343458",
"telephone_number": "405-822-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 ALEXA AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730343458",
"telephone_number": "405-822-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME HEALTH ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "405-822-0130",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689696858",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ehr",
"affiliation": "N",
"address_1": "2511 Alexa Ave",
"city": "Edmond",
"state": "OK",
"country_code": "US",
"postal_code": "730343458",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.