Active NPI
NE Family Medical Clinic Inc
- Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1235840893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NE FAMILY MEDICAL CLINIC INC
- Practice address
- 225 NE 38TH Ter Ste B
Oklahoma City, OK 73105-3760 - Phone
- (405) 493-9652
- Fax
- (405) 944-8223
- NPI assigned
- Dec 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ira Thomas
- Title
- Aprn FNP-C
- Phone
- (405) 493-9652
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
225 NE 38TH Ter Ste B
Oklahoma City, OK 73105-3760
Mailing address
225 NE 38TH Ter Ste B
Oklahoma City, OK 73105-3760
Phone (405) 493-9652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200921450A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230117002453 | OK | Part B Supplier - Clinic/Group Practice | 2163893801 |
Receives reassigned benefits from 1 practitioner Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider DirectoryLocations
225 NE 38th Ter
Ste B
Oklahoma City, OK 73105
Phone (405) 493-9652
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": "1670198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1235840893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 NE 38TH TER STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731053760",
"telephone_number": "405-493-9652",
"fax_number": "405-944-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 NE 38TH TER STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731053760",
"telephone_number": "405-493-9652",
"fax_number": "405-944-8223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NE FAMILY MEDICAL CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-05",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "IRA",
"authorized_official_title_or_position": "APRN FNP-C",
"authorized_official_telephone_number": "405-493-9652"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200921450A",
"state": "OK"
}
],
"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 Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.