NPIMap

Organization Active NPI

Adair County Health Center Dba Steven W. Delia, M.D.

Doing business as Physicians Clinic

  • Family Medicine Physician
  • Stilwell, OK
National Provider Identifier
1265620967
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22941 Issued in OK
Legal business name
ADAIR COUNTY HEALTH CENTER DBA STEVEN W. DELIA, M.D.
Doing business as
Physicians Clinic
Practice address
1401 W Locust St
Suite 102
Stilwell, OK 74960-3217
Phone
(918) 696-4065
Fax
(918) 696-5971
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Beverly A. Ross
Title
Clinic Manager
Phone
(918) 696-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 22941 OK Primary

Addresses

Primary practice location

1401 W Locust St
Suite 102
Stilwell, OK 74960-3217

Mailing address

1401 W Locust St
Suite 102
Stilwell, OK 74960-3217
Phone (918) 696-4065

Other names 1

  • Physicians Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adair County Health Centerincdba Magdalena Santos MD11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1265620967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "SUITE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "SUITE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY HEALTH CENTER DBA STEVEN W. DELIA, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "918-696-4065"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "22941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stilwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.