Organization Active NPI

Charles N. Howard, Jr., M.D., Inc.

  • General Practice Physician
  • Pauls Valley, OK
National Provider Identifier
1124208657
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11375 Issued in OK
Legal business name
CHARLES N. HOWARD, JR., M.D., INC.
Practice address
415 W Guy Ave
Pauls Valley, OK 73075-3200
Phone
(405) 238-9343
Fax
(405) 238-9346
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Charles N. Howard II, M.D.
Title
President
Phone
(405) 238-9343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 11375 OK Primary

Addresses

Primary practice location

415 W Guy Ave
Pauls Valley, OK 73075-3200

Mailing address

415 W Guy Ave
Pauls Valley, OK 73075-3200
Phone (405) 238-9343

Other identifiers 1

IdentifierTypeStateIssuer
10093620AMedicaidOK

National Provider Directory

National Provider Directory

Locations

415 W Guy Ave
Pauls Valley, OK 73075
Phone (405) 238-1170

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1124208657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GUY AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753200",
            "telephone_number": "405-238-9343",
            "fax_number": "405-238-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GUY AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753200",
            "telephone_number": "405-238-9343",
            "fax_number": "405-238-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES N. HOWARD, JR., M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-238-9343",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "11375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10093620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.