Organization Active NPI

Firstcare Medical Clinic of Muskogee PLLC

  • Family Medicine Physician
  • Muskogee, OK
National Provider Identifier
1134314388
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRSTCARE MEDICAL CLINIC OF MUSKOGEE PLLC
Practice address
3300 Chandler Rd
Suite 105
Muskogee, OK 74403-4957
Phone
(918) 681-3333
Fax
(918) 681-3336
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Timothy D. Robison, M.D.
Title
Owner
Phone
(918) 683-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3300 Chandler Rd
Suite 105
Muskogee, OK 74403-4957

Mailing address

3300 Chandler Rd
Suite 105
Muskogee, OK 74403-4957
Phone (918) 681-3333

Other identifiers 2

IdentifierTypeStateIssuer
446187037001OtherBCBS OF OKLAHOMA
P00011976OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1134314388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CHANDLER RD",
            "address_2": "SUITE 105",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034957",
            "telephone_number": "918-681-3333",
            "fax_number": "918-681-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CHANDLER RD",
            "address_2": "SUITE 105",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034957",
            "telephone_number": "918-681-3333",
            "fax_number": "918-681-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCARE MEDICAL CLINIC OF MUSKOGEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-683-8100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OKLAHOMA",
            "identifier": "446187037001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00011976",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.