NPIMap

Organization Active NPI

NE Wellness Community Health Clinic

  • Community Health Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1154764173
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
NE WELLNESS COMMUNITY HEALTH CLINIC
Practice address
2600 NE 63Rd Street
Oklahoma City, OK 73111
Phone
(405) 271-5859
NPI assigned
Apr 9, 2013
Organization subpart
Yes
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
John P Zubialde, MD
Title
Executive Dean
Phone
(405) 271-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

2600 NE 63Rd Street
Oklahoma City, OK 73111

Mailing address

1122 NE 13TH St
Ori 274
Oklahoma City, OK 73117-1039
Phone (405) 271-1515

National Provider Directory

National Provider Directory
Tax ID family
Board of Regents of the Univ of Oklahoma-Ou Phys Orl38 organizations share this tax ID, including this one
Part of
Board of Regents of the Univ of Oklahoma-Ou Phys Orl

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1154764173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "address_2": "ORI 274",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-1515",
            "fax_number": "405-271-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NE 63RD STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73111",
            "telephone_number": "405-271-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE WELLNESS COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS",
        "enumeration_date": "2013-04-09",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "ZUBIALDE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DEAN",
        "authorized_official_telephone_number": "405-271-1515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.