NPIMap

Organization Active NPI

PHP Yukon LLC

Doing business as Primary Health Partners

  • Family Medicine Physician
  • Yukon, OK
National Provider Identifier
1164938858
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21700 Issued in OK
Legal business name
PHP YUKON LLC
Doing business as
Primary Health Partners
Practice address
1820 Commons Cir Ste B
Yukon, OK 73099-9518
Phone
(405) 265-2778
Fax
(405) 494-7274
NPI assigned
Dec 18, 2017
Last updated
Dec 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Dr. Robert Lockwood, MDNPI 1265488829
Title
Owner
Phone
(405) 265-2778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21700 OK Primary

Addresses

Primary practice location

1820 Commons Cir Ste B
Yukon, OK 73099-9518

Mailing address

1820 Commons Cir Ste B
Yukon, OK 73099-9518
Phone (405) 265-2778

Other names 1

  • Primary Health Partners Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2130943Primary Health Partners1820 Commons Circle Suite B, Yukon, OK 73099Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
PHP Yukon LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1164938858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 COMMONS CIR STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999518",
            "telephone_number": "405-265-2778",
            "fax_number": "405-494-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 COMMONS CIR STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999518",
            "telephone_number": "405-265-2778",
            "fax_number": "405-494-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHP YUKON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-265-2778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.