NPIMap

Organization Active NPI

Michael D. Furgeson, M. D.,Inc.

  • Clinic/Center
  • Yukon, OK
National Provider Identifier
1144495227
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
15287 Issued in OK
Legal business name
MICHAEL D. FURGESON, M. D.,INC.
Practice address
508 W Vandament Ave
Suite 100
Yukon, OK 73099-4655
Phone
(405) 350-8100
Fax
(405) 350-6418
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Michael Douglas Furgeson, M. D.
Title
Owner
Phone
(405) 350-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 15287 OK Primary

Addresses

Primary practice location

508 W Vandament Ave
Suite 100
Yukon, OK 73099-4655

Mailing address

508 W Vandament Ave
Suite 100
Yukon, OK 73099-4655
Phone (405) 350-8100

Other identifiers 4

IdentifierTypeStateIssuer
080133931OtherOKRAILROAD MEDICARE
200101700AMedicaidOK
200101700BMedicaidOK
080133931OtherOKMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1144495227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W VANDAMENT AVE",
            "address_2": "SUITE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994655",
            "telephone_number": "405-350-8100",
            "fax_number": "405-350-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W VANDAMENT AVE",
            "address_2": "SUITE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994655",
            "telephone_number": "405-350-8100",
            "fax_number": "405-350-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. FURGESON, M. D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "FURGESON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-350-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "15287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080133931",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200101700A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200101700B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "080133931",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.