Active NPI
Southern Plains Medical Center of Garvin County LLC
- Multi-Specialty Clinic/Center
- Edmond, OK
National Provider Identifier
1235867938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC
- Practice address
- 1218 E 9TH St Ste 1
Edmond, OK 73034-5796 - Phone
- (405) 888-5000
- NPI assigned
- Aug 10, 2022
- Organization subpart
- Yes
- Parent organization
- SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Madhukar Sharma
- Title
- Owner
- Phone
- (979) 399-4966
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1218 E 9TH St Ste 1
Edmond, OK 73034-5796
Mailing address
1218 E 9TH St Ste 1
Edmond, OK 73034-5796
Phone (405) 888-5000
Other names 1
- VALLEY COMMUNITY CLINIC - DERMATOLOGY
National Provider Directory
National Provider Directory- Part of
- Southern Plains Medical Center of Garvin County LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Valley Community Hospital
- Rural Acute Care Hospital
- Pauls Valley, OK
- NPI 1053997338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1235867938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 E 9TH ST STE 1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345796",
"telephone_number": "405-888-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 E 9TH ST STE 1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345796",
"telephone_number": "405-888-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC",
"enumeration_date": "2022-08-10",
"last_updated": "2022-10-18",
"certification_date": "2022-10-12",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "MADHUKAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "979-399-4966",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VALLEY COMMUNITY CLINIC - DERMATOLOGY",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "VALLEY COMMUNITY CLINIC - DERMATOLOGY",
"code": "5",
"type": "Other Name"
}
]
}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 Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.