Organization Active NPI

Sokolosky Clinic P.C.

  • General Practice Physician
  • Owasso, OK
National Provider Identifier
1205040516
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1402 Issued in OK
Legal business name
SOKOLOSKY CLINIC P.C.
Practice address
1102 N Main St
Owasso, OK 74055-5571
Phone
(918) 272-5355
Fax
(918) 272-1475
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. Edward J Sokolosky, D.O.
Title
Owner
Phone
(918) 272-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 1402 OK Primary

Addresses

Primary practice location

1102 N Main St
Owasso, OK 74055-5571

Mailing address

1102 N Main St
Owasso, OK 74055-5571
Phone (918) 272-5355

Other names 1

  • none Other name

National Provider Directory

National Provider Directory

Locations

1102 N Main St
Owasso, OK 74055
Phone (918) 272-5355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1205040516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N MAIN ST",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555571",
            "telephone_number": "918-272-5355",
            "fax_number": "918-272-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N MAIN ST",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555571",
            "telephone_number": "918-272-5355",
            "fax_number": "918-272-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOKOLOSKY CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "SOKOLOSKY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-272-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.