Active NPI
Lenard B Phillips, DO
- Family Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3813
- Practice address
- 11601 S Western Ave
Oklahoma City, OK 73170-5823 - Phone
- (405) 691-5208
- Fax
- (405) 378-0556
- NPI assigned
- Jan 10, 2006
- Last updated
- Dec 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3813 | OK | Primary |
Addresses
Primary practice location
11601 S Western Ave
Oklahoma City, OK 73170-5823
Mailing address
11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3813 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Resource Management, LLC | Family Medicine | Current | Accepting new patients |
| Medok Mustang, LLC | Family Medicine | Current | Accepting new patients |
| Oca Stillwater LP | Family Medicine | Past | Accepting new patients |
| Oca Norman, LP | Family Medicine | Past | Accepting new patients |
| Oklahoma Clinical Associates LLC | Family Medicine | Past | Accepting new patients |
| Rock Creek Clinic, LP | Family Medicine | Past | Accepting new patients |
| Oca MWC LP | Family Medicine | Past | Accepting new patients |
| Oca Tricity LP | Family Medicine | Past | Accepting new patients |
| Oca 1 LLC | Family Medicine | Past | Accepting new patients |
| Oca Mustang LP | Family Medicine | Past | Accepting new patients |
| Oklahoma Kidney Center, Inc. | Past | Accepting new patients | |
| Oca II Edmond, LLC | Family Medicine | Past | Accepting new patients |
Locations
46 E 15th St
Edmond, OK 73013
Phone (405) 691-7201
1000 NW 32nd St
Newcastle, OK 73065
Phone (405) 387-9325
334 12th Ave SE
Norman, OK 73071
Phone (405) 310-6590
334 12th Ave SE
Ste 110
Norman, OK 73071
Phone (405) 321-1911
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
11601 S Western Ave
Oklahoma City, OK 73170
Phone (405) 512-6950
9917 SE 15th St
Oklahoma City, OK 73130
Phone (405) 622-2070
275 S Perkins Rd
Stillwater, OK 74074
Phone (405) 334-5272
2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520
1616 S Mustang Rd
Yukon, OK 73099
Phone (405) 256-0501
301 S Mustang Rd
Yukon, OK 73099
Phone (405) 324-1911
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
Family Medicine
-
dba Premier Plus Urgent Care
- Urgent Care Clinic/Center
- Yukon, OK
- NPI 1831553817
Family Medicine
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1003149139
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1306014725
-
dba Internal Medicine Clinic
- Specialist
- Oklahoma City, OK
- NPI 1649280702
-
dba Access Medical Center
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386656957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1225017270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731705823",
"telephone_number": "405-691-5208",
"fax_number": "405-378-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731705823",
"telephone_number": "405-691-5208",
"fax_number": "405-378-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "LENARD",
"middle_name": "B",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "3813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.