NPIMap

Organization Active NPI

Urgent Care Incorporated

Doing business as Broken Arrow Urgent Care

  • Family Medicine Physician
  • Broken Arrow, OK
National Provider Identifier
1215992235
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3896 Issued in OK
Legal business name
URGENT CARE INCORPORATED
Doing business as
Broken Arrow Urgent Care
Practice address
1130 E Lansing St
Broken Arrow, OK 74012-2016
Phone
(918) 258-9111
Fax
(918) 251-9339
NPI assigned
Apr 20, 2006
Last updated
Aug 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Jonathan T Hamilton, DONPI 1639159239
Title
President/Owner
Phone
(918) 258-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3896 OK Primary

Addresses

Primary practice location

1130 E Lansing St
Broken Arrow, OK 74012-2016

Mailing address

PO Box 3500
Dept 354
Claremore, OK 74018-3500
Phone (918) 258-9111

Other identifiers 1

IdentifierTypeStateIssuer
DE8466OtherOKRAILROAD MEDICARE

Other names 1

  • Broken Arrow Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

1130 E Lansing St
Broken Arrow, OK 74012
Phone (918) 258-9111

Practitioners & affiliated clinicians

Practitioners 10

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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1215992235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3500",
            "address_2": "DEPT 354",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740183500",
            "telephone_number": "918-258-9111",
            "fax_number": "918-251-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E LANSING ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122016",
            "telephone_number": "918-258-9111",
            "fax_number": "918-251-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "918-258-9111",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE8466",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broken Arrow Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.