NPIMap

Organization Active NPI

PHP Ok PC

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1235848466
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHP OK PC
Practice address
15318 N May Ave Ste B
Edmond, OK 73013-8864
Phone
(405) 960-8020
Fax
(405) 970-8025
NPI assigned
Nov 16, 2022
Organization subpart
Yes
Parent organization
PHP MANAGEMENT GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Angie McKinney
Title
Operations Manager
Phone
(405) 577-6571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15318 N May Ave Ste B
Edmond, OK 73013-8864

Mailing address

1820 Commons Cir Ste B
Yukon, OK 73099-9518
Phone (405) 577-6571

Other names 1

  • Primary Health Partners Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2273173Primary Health Partners-Quail Springs15318 N May Ave, Ste B, Edmond, OK 73013Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
PHP Ok PC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

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": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1235848466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 COMMONS CIR STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999518",
            "telephone_number": "405-577-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15318 N MAY AVE STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138864",
            "telephone_number": "405-960-8020",
            "fax_number": "405-970-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHP OK PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHP MANAGEMENT GROUP, LLC",
        "enumeration_date": "2022-11-16",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "405-577-6571"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Health Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.