Direct Care Medical Group, PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

DIRECT CARE MEDICAL GROUP, PLLC

Practice address

13045 S Kelly Ave Unit BB
Edmond, OK 73025-1915

Phone

(405) 942-3737

Fax

(405) 942-3873

NPI assigned

Sep 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. David Bishop, MD

Title

President

Phone

(405) 942-3737

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1144990342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13045 S KELLY AVE UNIT BB",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730251915",
            "telephone_number": "405-942-3737",
            "fax_number": "405-942-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13045 S KELLY AVE UNIT BB",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730251915",
            "telephone_number": "405-942-3737",
            "fax_number": "405-942-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CARE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-942-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Hospitalist Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.