Active NPI
Family Medicine Associates of Edmond LLC
- Clinic/Center
- Edmond, OK
National Provider Identifier
1093940454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- FAMILY MEDICINE ASSOCIATES OF EDMOND LLC
- Practice address
- 105 S Bryant Ave Ste 210
Edmond, OK 73034-6331 - Phone
- (405) 359-5229
- Fax
- (405) 359-5214
- NPI assigned
- May 28, 2009
- 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
- Stephanie Jones
- Title
- Director of Patient Accounting
- Phone
- (405) 271-7099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
105 S Bryant Ave Ste 210
Edmond, OK 73034-6331
Mailing address
PO Box 744499
Atlanta, GA 30374-4499
Phone (405) 271-8132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200249490A | Medicaid | OK |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba HCA HealthONE Mental Health & Wellness Center, A part of Aurora Hosp
- General Acute Care Hospital
- Centennial, CO
- NPI 1396323721
Member Of
Locations
3824 S Boulevard
Ste 160
Edmond, OK 73013
Phone (405) 348-2424
105 S Bryant Ave
Ste 104
Edmond, OK 73034
Phone (405) 216-0956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563148800000",
"number": "1093940454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744499",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744499",
"telephone_number": "405-271-8132",
"fax_number": "405-271-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S BRYANT AVE STE 210",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346331",
"telephone_number": "405-359-5229",
"fax_number": "405-359-5214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE ASSOCIATES OF EDMOND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-28",
"last_updated": "2019-07-15",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTING",
"authorized_official_telephone_number": "405-271-7099"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200249490A",
"state": "OK"
}
],
"endpoints": [],
"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 Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.