Active NPI
Sovereign Medical Clinic Norman
- Urgent Care Clinic/Center
- Norman, OK
National Provider Identifier
1174949317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- SOVEREIGN MEDICAL CLINIC NORMAN
- Practice address
- 2080 Hwy 9 West
Norman, OK 73072 - Phone
- (405) 322-6800
- Fax
- (405) 322-6803
- NPI assigned
- Mar 12, 2014
- Last updated
- Mar 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chris Tharp
- Title
- Vice President of Sovereign Medical
- Phone
- (580) 421-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
2080 Hwy 9 West
Norman, OK 73072
Mailing address
2080 State Hwy 9 West
Norman, OK 73072-9847
Phone (405) 322-6800
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2079715 | Sovereign Medical Clinic | Certificate of waiver | Jul 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
1007 N Country Club Rd
Ada, OK 74820
Phone (580) 421-8700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394582400000",
"number": "1174949317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 STATE HWY 9 WEST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729847",
"telephone_number": "405-322-6800",
"fax_number": "405-322-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 HWY 9 WEST",
"city": "NORMAN",
"state": "OK",
"postal_code": "73072",
"telephone_number": "405-322-6800",
"fax_number": "405-322-6803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOVEREIGN MEDICAL CLINIC NORMAN",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-12",
"last_updated": "2014-03-12",
"status": "A",
"authorized_official_last_name": "THARP",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "VICE PRESIDENT OF SOVEREIGN MEDICAL",
"authorized_official_telephone_number": "580-421-9500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
- Southern Oklahoma Pet Imaging LLC
- Southern Oklahoma Treatment Serices, Inc.
- Southern Plains Medical Center Inc (CareFirst Wellness Associates)
- Southern Plains Treatment Services
- Douglas Stephen Southern, PHD
- Steffan Rose Spain, M.A., CCC-SLP
- Paul E Spann, DPT
- Spardoin LLC
- Donna L Sparks, DDS
- Eric Sparks
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.