NPIMap

Organization Active NPI

Careatc - Aspen

  • Primary Care Clinic/Center
  • Broken Arrow, OK
National Provider Identifier
1104370535
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAREATC - ASPEN
Practice address
1749 N Aspen Ave
#1757
Broken Arrow, OK 74012-1197
Phone
(918) 747-9740
Fax
(918) 779-7434
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Keith Gucwa
Title
Director of Purchasing and Faciliti
Phone
(918) 779-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1749 N Aspen Ave
#1757
Broken Arrow, OK 74012-1197

Mailing address

1749 N Aspen Ave
#1757
Broken Arrow, OK 74012-1197
Phone (918) 747-9740

National Provider Directory

National Provider Directory
Tax ID family
Careatc-Saint Peter119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

1749 N Aspen Ave
#1757
Broken Arrow, OK 74012
Phone (918) 747-9740

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1104370535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 N ASPEN AVE",
            "address_2": "#1757",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121197",
            "telephone_number": "918-747-9740",
            "fax_number": "918-779-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 N ASPEN AVE",
            "address_2": "#1757",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121197",
            "telephone_number": "918-747-9740",
            "fax_number": "918-779-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC - ASPEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "GUCWA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR OF PURCHASING AND FACILITI",
        "authorized_official_telephone_number": "918-779-7416"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.