NPIMap

Organization Active NPI

TSG Physicians Group

  • Family Medicine Physician
  • Stroud, OK
National Provider Identifier
1205884145
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TSG PHYSICIANS GROUP
Practice address
2308B W Highway 66
Stroud, OK 74079-6729
Phone
(918) 968-4469
NPI assigned
May 4, 2006
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN PLAINS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Mr. Thomas Rice
Title
Ceo
Phone
(405) 917-0300

Specialties & licenses 1

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

Addresses

Primary practice location

2308B W Highway 66
Stroud, OK 74079-6729

Mailing address

PO Box 12277
Oklahoma City, OK 73157-2277
Phone (405) 917-0300

Other identifiers 2

IdentifierTypeStateIssuer
200061890BMedicaidOK
200061890AMedicaidOK

National Provider Directory

National Provider Directory
Part of
TSG Physicians Group

Locations

2279 Paysphere Cir
Chicago, IL 60674

2015 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 382-2350

2308 W Highway 66
#B
Stroud, OK 74079
Phone (918) 968-1642

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1205884145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12277",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572277",
            "telephone_number": "405-917-0300",
            "fax_number": "405-917-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308B W HIGHWAY 66",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740796729",
            "telephone_number": "918-968-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSG PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN PLAINS MEDICAL GROUP",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-917-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061890B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroud, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.