Dubois Medical Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DUBOIS MEDICAL CLINIC PC

Practice address

1117 S Douglas Blvd
Ste D
Midwest City, OK 73130-5262

Phone

(405) 741-8686

Fax

(405) 733-9621

NPI assigned

Aug 29, 2005

Organization subpart

No

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

Authorized official

Name

Peggy Culver Dubois, MD

Title

Owner

Phone

(405) 741-8686

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104819762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S DOUGLAS BLVD",
            "address_2": "STE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305262",
            "telephone_number": "405-741-8686",
            "fax_number": "405-733-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S DOUGLAS BLVD",
            "address_2": "STE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305262",
            "telephone_number": "405-741-8686",
            "fax_number": "405-733-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "CULVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-741-8686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Dragman, MSACN
• Denise Ann Draper, LCSW
• Ashley Drees, LMSW
• Drug Store
• Calet Dubiel
• Elizabeth Ann Dubois, M.A.
• Gary Dean Dubois, MD
• Peggy Culver Dubois, MD
• Tasha D Dubose
• Dugan Dental, Inc.

• Family Medicine Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.