Organization Active NPI

Northeast Oklahoma Family Practice & Obstetrics

  • Family Medicine Physician
  • Grove, OK
National Provider Identifier
1093877250
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20108 Issued in OK
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Zachary Townsend Bechtol, MDNPI 1124092960
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)CodeLicenseStatePrimary
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 Directory

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": "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.

Verify at the official NPI Registry.