Quality Care Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

15010 Issued in OK

Legal business name

QUALITY CARE PEDIATRICS

Practice address

5606 SW Lee Blvd Ste 306
Lawton, OK 73505-9688

Phone

(580) 475-0175

Fax

(580) 475-0190

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Minda U Roan, M.D.

Title

Owner

Phone

(580) 475-0175

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1265763437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD STE 306",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059688",
            "telephone_number": "580-475-0175",
            "fax_number": "580-475-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD STE 306",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059688",
            "telephone_number": "580-475-0175",
            "fax_number": "580-475-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "ROAN",
        "authorized_official_first_name": "MINDA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-475-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "15010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PSG Western Hills, LLC
• Cydney Puczek, RBT
• Virgie Yvonne Purifoy, B.S
• Purposeful Counsel LLC
• Bradden Rex Pyron, M.D.
• Quantum Healthcare Inc
• Quantum Medical Inc
• Quantum Medical Inc.
• Laura Gail Quinn
• Gabriel Quinones-Nazario, MD

• Pediatrics Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.