McAlester Medical Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MCALESTER MEDICAL SERVICES, LLC

Practice address

1 E Clark Bass Blvd
McAlester, OK 74501-4209

Phone

(918) 421-6987

Fax

(918) 421-6698

NPI assigned

Sep 27, 2005

Last updated

Apr 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David N Keith

Title

Ceo/President

Phone

(918) 426-1800

Specialties & licenses 13

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• McAlester Imaging Associates LLC

  dba McAlester Diagnostic Imaging

  • Radiology Clinic/Center
  • McAlester, OK
  • NPI 1760411540

  Member Of

  NPD member

Locations

Practitioners 70

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.

• David Auld, MD

  • Pediatrics Physician
  • Oklahoma City, OK
  • NPI 1881039055
  Medicare reassignment Care Compare group NPD
• Laura Marie Black-Wicks, DO

  • Family Medicine Physician
  • Eufaula, OK
  • NPI 1184607517
  Medicare reassignment Care Compare group NPD
• Cuong Le Doan, DO

  • Student in an Organized Health Care Education/Training Program
  • McAlester, OK
  • NPI 1447942115
  Medicare reassignment Care Compare group NPD
• Sean Michael Doyle, M.D.

  • Urology Physician
  • Tulsa, OK
  • NPI 1679694822
  Medicare reassignment Care Compare group NPD
• Kevin Joseph Gancarczyk, M.D.

  • Urology Physician
  • Tulsa, OK
  • NPI 1013983741
  Medicare reassignment Care Compare group NPD
• Patrick Russell Gannon, MD

  • Orthopaedic Surgery Physician
  • McAlester, OK
  • NPI 1790747426
  Medicare reassignment Care Compare group NPD
• Christine Annmarie Johnson, AGNP, APRN-CP

  • Adult Health Nurse Practitioner
  • McAlester, OK
  • NPI 1619684719
  Medicare reassignment Care Compare group NPD
• Jennifer Kim, D.O.

  • Family Medicine Physician
  • McAlester, OK
  • NPI 1255734778
  Medicare reassignment Care Compare group NPD
• Coleen Logan, FNP-C

  • Family Nurse Practitioner
  • Eufaula, OK
  • NPI 1265141261
  Medicare reassignment Care Compare group NPD
• Walter Clinton Maxcey, APRN-CNP

  • Family Nurse Practitioner
  • Ada, OK
  • NPI 1265943476
  Medicare reassignment Care Compare group NPD
• James B McGeady, M.D.

  • Urology Physician
  • Tulsa, OK
  • NPI 1194921486
  Medicare reassignment Care Compare group NPD
• Joseph Louis Padalino, M.D.

  • Urology Physician
  • Tulsa, OK
  • NPI 1730322744
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1154317998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-421-6987",
            "fax_number": "918-421-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-421-6987",
            "fax_number": "918-421-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALESTER MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "918-426-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200581850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• McAlester Physician Management Services
• McAlester Public Schools
• McAlester Regional Dialysis Center, LLC

• Internal Medicine Physician in McAlester, OK
• Providers in McAlester, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.