NPIMap

Organization Active NPI

John Belk Family Practice PLLC

  • Family Medicine Physician
  • Wagoner, OK
National Provider Identifier
1134655004
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30768 Issued in OK
Legal business name
JOHN BELK FAMILY PRACTICE PLLC
Practice address
1103 W Cherokee St
Wagoner, OK 74467-4621
Phone
(580) 647-6594
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
John Belk, MD
Title
MBR
Phone
(580) 647-6594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 30768 OK Primary

Addresses

Primary practice location

1103 W Cherokee St
Wagoner, OK 74467-4621

Mailing address

1103 W Cherokee St
Wagoner, OK 74467-4621

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1134655004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674621",
            "telephone_number": "580-647-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BELK FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "BELK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "580-647-6594",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "30768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagoner, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.