Organization Active NPI

Thomas W. Salyer, DO, PC

  • Family Medicine Physician
  • Idabel, OK
National Provider Identifier
1114006723
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3118 Issued in OK
Legal business name
THOMAS W. SALYER, DO, PC
Practice address
1302 S Lynn LN
Idabel, OK 74745-6860
Phone
(580) 286-3993
NPI assigned
Nov 3, 2006
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Thomas W. Salyer, D.O.NPI 1720048010
Title
President
Phone
(580) 286-3993

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3118 OK Primary

Addresses

Primary practice location

1302 S Lynn LN
Idabel, OK 74745-6860

Mailing address

1302 S Lynn LN
Idabel, OK 74745-6860

Other identifiers 1

IdentifierTypeStateIssuer
263110784002OtherOKBC/BS GRP #

National Provider Directory

National Provider Directory

Locations

1302 S Lynn Ln
Idabel, OK 74745
Phone (405) 639-7771

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1114006723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 S LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456860",
            "telephone_number": "580-286-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. SALYER, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "SALYER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-286-3993",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GRP #",
            "identifier": "263110784002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.