CMS Outpatient Clinic Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CMS OUTPATIENT CLINIC INC.

Practice address

201 N Monte Vista St
Suite C
Ada, OK 74820-7220

Phone

(580) 310-0015

Fax

(580) 310-0909

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael R, Stafford, DO

Title

Physician

Phone

(580) 310-0015

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1154489540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MONTE VISTA ST",
            "address_2": "SUITE C",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207220",
            "telephone_number": "580-310-0015",
            "fax_number": "580-310-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MONTE VISTA ST",
            "address_2": "SUITE C",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207220",
            "telephone_number": "580-310-0015",
            "fax_number": "580-310-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS OUTPATIENT CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R,",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-310-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039450B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039450A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candis Clark, OD
• Sharon Clements
• Matthew Cleveland
• Emily Sue Clifton, MS
• CMN Enterprises,LLC
• Dustin Ray Cochran, MD
• Jennifer Nicole Cody, MSW, LCSW
• Brian Damian Coerver, DDS
• Melissa Kathleen Colbert, D.O.
• Paula Colbert

• Family Medicine Physician in Ada, OK
• Providers in Ada, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.