Family Care Spec, Inc., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12203 Issued in OK

Legal business name

FAMILY CARE SPEC, INC., P.C.

Practice address

601 E 13TH St Ste C
Grove, OK 74344-2962

Phone

(918) 786-6151

Fax

(918) 786-3483

NPI assigned

Nov 6, 2006

Last updated

Jan 14, 2009By 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

Dr. Charles Joseph Chouteau, MDNPI 1609874346

Title

Owner

Phone

(918) 786-6151

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Charles Joseph Chouteau, MD

  • Family Medicine Physician
  • Grove, OK
  • NPI 1609874346
  NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1265501274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 13TH ST STE C",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442962",
            "telephone_number": "918-786-6151",
            "fax_number": "918-786-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 13TH ST STE C",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442962",
            "telephone_number": "918-786-6151",
            "fax_number": "918-786-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE SPEC, INC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "CHOUTEAU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-786-6151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "12203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080029338",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C08010",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100738700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Lucas Elliott, LCSW
• Margaret P Ellis, MD
• Merrick Ellis, RBT
• Eyecare of Grand Lake PLLC
• Melissa Lynne Falley, BACHELOR OF SCIENCE
• Joseph Michael Ferguson, D.C.
• Sammie Jo Ferguson, D.C.
• Dawn Rechele Fields
• Janet Mary Fletcher, PA C
• Jeffery Alan Forbes

• Family Medicine Physician in Grove, OK
• Providers in Grove, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.