Active NPI
Northeast Oklahoma Family Practice & Obstetrics
- Family Medicine Physician
- Grove, OK
National Provider Identifier
1093877250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20108
- Legal business name
- NORTHEAST OKLAHOMA FAMILY PRACTICE & OBSTETRICS
- Practice address
- 601 E 13TH St
Suite H
Grove, OK 74344-2989 - Phone
- (918) 786-4664
- Fax
- (918) 786-4256
- NPI assigned
- Dec 14, 2006
- Last updated
- Jun 5, 2008
- 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
- Zachary Townsend Bechtol, MD
- Title
- Owner
- Phone
- (918) 786-4664
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20108 | OK | Primary |
Addresses
Primary practice location
601 E 13TH St
Suite H
Grove, OK 74344-2989
Mailing address
601 E 13TH St
Suite H
Grove, OK 74344-2989
Phone (918) 786-4664
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Grove, OK
- NPI 1124092960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1093877250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E 13TH ST",
"address_2": "SUITE H",
"city": "GROVE",
"state": "OK",
"postal_code": "743442989",
"telephone_number": "918-786-4664",
"fax_number": "918-786-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 13TH ST",
"address_2": "SUITE H",
"city": "GROVE",
"state": "OK",
"postal_code": "743442989",
"telephone_number": "918-786-4664",
"fax_number": "918-786-4256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST OKLAHOMA FAMILY PRACTICE & OBSTETRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "BECHTOL",
"authorized_official_first_name": "ZACHARY",
"authorized_official_middle_name": "TOWNSEND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-786-4664",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "20108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.