NPIMap

Organization Active NPI

Mease Medical Clinic

  • Family Medicine Physician
  • Jay, OK
National Provider Identifier
1144303629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16931 Issued in OK
Legal business name
MEASE MEDICAL CLINIC
Practice address
659 S 14TH St
Jay, OK 74346
Phone
(918) 253-6418
Fax
(918) 253-4066
NPI assigned
Oct 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Darrell R Mease, MDNPI 1952377442
Title
Owner/Medical Director
Phone
(918) 253-6418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16931 OK Primary

Addresses

Primary practice location

659 S 14TH St
Jay, OK 74346

Mailing address

PO Box 780
Jay, OK 74346-0780
Phone (918) 253-6418

National Provider Directory

National Provider Directory
Tax ID family
Mease Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144303629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743460780",
            "telephone_number": "918-253-6418",
            "fax_number": "918-253-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 S 14TH ST",
            "city": "JAY",
            "state": "OK",
            "postal_code": "74346",
            "telephone_number": "918-253-6418",
            "fax_number": "918-253-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEASE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEASE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "918-253-6418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "16931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jay, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.