Organization Active NPI

Manipulation & Specialty Healthcare, Inc

  • Family Medicine Physician
  • Glenpool, OK
National Provider Identifier
1265651491
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3069 Issued in OK
Legal business name
MANIPULATION & SPECIALTY HEALTHCARE, INC
Practice address
13809 S Casper St
Suite D
Glenpool, OK 74033-2618
Phone
(918) 291-0189
Fax
(918) 291-0190
NPI assigned
Apr 25, 2007
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Dr. Constance Gilbert Honeycutt, DO
Title
Physician Owner
Phone
(918) 779-5907

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 3069 OK
Family Medicine Physician 207Q00000X 3069 OK Primary

Addresses

Primary practice location

13809 S Casper St
Suite D
Glenpool, OK 74033-2618

Mailing address

13809 S Casper St
Suite D
Glenpool, OK 74033-2618
Phone (918) 291-0189

Other identifiers 1

IdentifierTypeStateIssuer
2000313580AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1265651491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13809 S CASPER ST",
            "address_2": "SUITE D",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740332618",
            "telephone_number": "918-291-0189",
            "fax_number": "918-291-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13809 S CASPER ST",
            "address_2": "SUITE D",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740332618",
            "telephone_number": "918-291-0189",
            "fax_number": "918-291-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIPULATION & SPECIALTY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "HONEYCUTT",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "918-779-5907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OK",
            "license": "3069",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000313580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenpool, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.