Organization Active NPI

CCF Group

  • Internal Medicine Physician
  • Edmond, OK
National Provider Identifier
1235910639
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CCF GROUP
Practice address
1501 NW 174TH CT
Edmond, OK 73012-9713
Phone
(918) 417-0878
Fax
(405) 300-1336
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Christopher Fisher, MD
Title
President
Phone
(918) 417-0878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1501 NW 174TH CT
Edmond, OK 73012-9713

Mailing address

1501 NW 174TH CT
Edmond, OK 73012-9713

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

100 Valley Dr
Ste 1B
Pauls Valley, OK 73075
Phone (405) 866-5100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1235910639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NW 174TH CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129713",
            "fax_number": "405-300-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NW 174TH CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129713",
            "telephone_number": "918-417-0878",
            "fax_number": "405-300-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCF GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-417-0878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2025; 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.