Organization Active NPI

University Heights Medical Clinic

  • Family Medicine Physician
  • Muskogee, OK
National Provider Identifier
1205474996
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY HEIGHTS MEDICAL CLINIC
Practice address
2901 Azalea Park Dr
Muskogee, OK 74401-2283
Phone
(918) 683-6500
NPI assigned
Dec 13, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Dr. Byford F Shaw Jr., D.O.
Title
Owner
Phone
(918) 683-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2901 Azalea Park Dr
Muskogee, OK 74401-2283

Mailing address

2901 Azalea Park Dr
Muskogee, OK 74401-2283
Phone (918) 683-6500

National Provider Directory

National Provider Directory

Locations

2901 Azalea Park Dr
Muskogee, OK 74401
Phone (918) 683-6500

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": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1205474996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 AZALEA PARK DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012283",
            "telephone_number": "918-683-6500",
            "fax_number": "918-683-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 AZALEA PARK DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012283",
            "telephone_number": "918-683-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEIGHTS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "BYFORD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-683-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.