Organization Active NPI

TSQ Inc

Doing business as Sanford Family Medicine

  • Family Medicine Physician
  • Okmulgee, OK
National Provider Identifier
1093829269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3695 Issued in OK
Legal business name
TSQ INC
Doing business as
Sanford Family Medicine
Practice address
1151 South Belmont
Suite 101
Okmulgee, OK 74447
Phone
(918) 759-2200
NPI assigned
Aug 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy Herbert Sanford, D.O.
Title
President/D.O.
Phone
(918) 759-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3695 OK Primary

Addresses

Primary practice location

1151 South Belmont
Suite 101
Okmulgee, OK 74447

Mailing address

1151 South Belmont
Suite 101
Okmulgee, OK 74447
Phone (918) 759-2200

Other names 1

  • Sanford Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1151 S Belmont Ave
Ste 101
Okmulgee, OK 74447
Phone (918) 759-2200

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093829269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 SOUTH BELMONT",
            "address_2": "SUITE 101",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-759-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SOUTH BELMONT",
            "address_2": "SUITE 101",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-759-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSQ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT/D.O.",
        "authorized_official_telephone_number": "918-759-2200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.