Atkinson Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21702 Issued in OK

Legal business name

ATKINSON MEDICAL

Practice address

5606 SW Lee Blvd
Suite 305
Lawton, OK 73505-9688

Phone

(580) 248-1055

Fax

(580) 699-8010

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Thomas B Atkinson, MD

Title

President

Phone

(580) 248-1055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1174777940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD",
            "address_2": "SUITE 305",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-248-1055",
            "fax_number": "580-699-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD",
            "address_2": "SUITE 305",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059688",
            "telephone_number": "580-248-1055",
            "fax_number": "580-699-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATKINSON MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-248-1055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Renae Asepermy
• David Lee Atauvich
• Brandon Atkins, PTA
• Brandy Ray Atkins, COTA/L
• Bryssa Atkins
• Jimmy Atma, LPN
• Ashley Atwood, RBT
• Larry C Atwood, M.D.
• Theresa Aubrey, COTA/L
• Sydney Hannah Aust, SA-C, CST

• All providers in Lawton, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.