Organization Active NPI

Christopher Kolker, MD PLLC

Doing business as Christopher Kolker, M.D.

  • Family Medicine Physician
  • Clinton, OK
National Provider Identifier
1245406495
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20223 Issued in OK
Legal business name
CHRISTOPHER KOLKER, MD PLLC
Doing business as
Christopher Kolker, M.D.
Practice address
816 Frisco Ave Ste a
Clinton, OK 73601-3701
Phone
(580) 323-4644
Fax
(580) 323-1620
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Christopher Kolker, M.D.
Title
Medical Doctor
Phone
(580) 323-4644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20223 OK Primary

Addresses

Primary practice location

816 Frisco Ave Ste a
Clinton, OK 73601-3701

Mailing address

816 Frisco Ave Ste a
Clinton, OK 73601-3701
Phone (580) 323-4644

Other identifiers 1

IdentifierTypeStateIssuer
200193920AMedicaidOK

Other names 1

  • Christopher Kolker, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

816 Frisco Ave
Ste A
Clinton, OK 73601
Phone (580) 323-4644

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1245406495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 FRISCO AVE STE A",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013701",
            "telephone_number": "580-323-4644",
            "fax_number": "580-323-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 FRISCO AVE STE A",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013701",
            "telephone_number": "580-323-4644",
            "fax_number": "580-323-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER KOLKER, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "KOLKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "580-323-4644",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200193920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher Kolker, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.