Alpha M.D., PLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ALPHA M.D., PLC

Doing business as

Dr. H's Family Medicine

Practice address

4602 US Highway 59
Grove, OK 74344-4229

Phone

(918) 877-1211

Fax

(918) 877-1216

NPI assigned

May 24, 2022

Last updated

Nov 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Hostetler, MDNPI 1265829485

Title

Manager

Phone

(918) 877-1211

Specialties & licenses 2

Addresses

Other names 1

• Dr. H's Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Hostetler, M.D.

  • Family Medicine Physician
  • Grove, OK
  • NPI 1265829485
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668297600000",
    "number": "1245978774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450130",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743450130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 US HIGHWAY 59",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743444229",
            "telephone_number": "918-877-1211",
            "fax_number": "918-877-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA M.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "HOSTETLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-877-1211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. H's Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paul Daniel Allsup, DC
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• Olivia Valentine Anderson, DPT
• Shawn Michael Anderson, M.D.
• Jennifer Lynne Andrews, RN
• Anesthesia Associates of Grand Lake

• Medical Specialty Clinic/Center in Grove, OK
• Providers in Grove, OK by specialty
• Medical Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2022; 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.

Verify at the official NPI Registry.