NPIMap

Organization Active NPI

Care Pathways, LLC

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1104418151
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARE PATHWAYS, LLC
Practice address
330 S 5TH St Ste 206
Enid, OK 73701-5861
Phone
(405) 928-2727
Fax
(405) 928-2720
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
John Kelly
Title
Manager of LLC
Phone
(405) 928-2727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QH0002X

Addresses

Primary practice location

330 S 5TH St Ste 206
Enid, OK 73701-5861

Mailing address

2910 Adams Rd Ste 110
Norman, OK 73069-1023
Phone (405) 928-2727

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkelly@icmhealth.com

National Provider Directory

National Provider Directory

Locations

2401 Tee Cir
Ste 207
Norman, OK 73069
Phone (405) 928-2727

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1104418151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 ADAMS RD STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691023",
            "telephone_number": "405-928-2727",
            "fax_number": "405-928-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST STE 206",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015861",
            "telephone_number": "405-928-2727",
            "fax_number": "405-928-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER OF LLC",
        "authorized_official_telephone_number": "405-928-2727"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkelly@icmhealth.com",
            "affiliation": "N",
            "address_1": "2910 Adams Rd",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730691023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.