Urgent Care and Family Practice Center of Ponca City LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19188 Issued in OK

Legal business name

URGENT CARE AND FAMILY PRACTICE CENTER OF PONCA CITY LLC

Practice address

1715 N 5TH St
Ponca City, OK 74601-2763

Phone

(580) 762-9292

Fax

(580) 762-1660

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jan Russell Hill, M.D.

Title

Owner

Phone

(580) 762-9292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1154529865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N 5TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012763",
            "telephone_number": "580-762-9292",
            "fax_number": "580-762-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N 5TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012763",
            "telephone_number": "580-762-9292",
            "fax_number": "580-762-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE AND FAMILY PRACTICE CENTER OF PONCA CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-762-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "19188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer D Turney, LMSW, MSW U/S
• Phillip Alan Tyndall, DDS
• Peggy R. Tyrrell, RN
• Susanna V. Ulahannan, M.D.
• United Community Action Program, Inc.
• Utica Sleep Laboratories
• Alzira F Vaidya, MD
• Shrikrishna V Vaidya, MD
• Brittany Victoria Valdez
• Charles Valgora, PA

• Family Medicine Physician in Ponca City, OK
• Providers in Ponca City, 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 Nov 15, 2010; 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.