NPIMap

Organization Active NPI

Jamie L Gore DO PC

  • Family Medicine Physician
  • Elk City, OK
National Provider Identifier
1164540035
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4298 Issued in OK
Legal business name
JAMIE L GORE DO PC
Practice address
601 W 3Rd St
Elk City, OK 73644-5205
Phone
(580) 225-5900
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. Jamie L Gore, D.O.
Title
President
Phone
(580) 225-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4298 OK Primary

Addresses

Primary practice location

601 W 3Rd St
Elk City, OK 73644-5205

Mailing address

601 W 3Rd St
Elk City, OK 73644-5205
Phone (580) 225-5900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1164540035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445205",
            "telephone_number": "580-225-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445205",
            "telephone_number": "580-225-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE L GORE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-225-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.