Active NPI
Sayre Family Medicine Clinic PLLC
- Family Medicine Physician
- Sayre, OK
National Provider Identifier
1275224693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SAYRE FAMILY MEDICINE CLINIC PLLC
- Practice address
- 1002 NE Highway 66 Ste 3
Sayre, OK 73662-9312 - Phone
- (580) 210-1565
- Fax
- (580) 003-0352
- NPI assigned
- May 17, 2023
- Last updated
- Apr 22, 2024
- Organization subpart
- Yes
- Parent organization
- 5 STAR HEALTH, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonja Langley
- Title
- Owner
- Phone
- (580) 210-2024
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1002 NE Highway 66 Ste 3
Sayre, OK 73662-9312
Mailing address
1002 NE Highway 66 Ste 3
Sayre, OK 73662-9312
Phone (580) 210-1565
Other practice location 1
508 South Cearlock Ave
Cheyenne, OK 73628
Phone (580) 210-2024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Sayre, OK
- NPI 1962821074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1275224693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 NE HIGHWAY 66 STE 3",
"city": "SAYRE",
"state": "OK",
"postal_code": "736629312",
"telephone_number": "580-210-1565",
"fax_number": "580-200-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 NE HIGHWAY 66 STE 3",
"city": "SAYRE",
"state": "OK",
"postal_code": "736629312",
"telephone_number": "580-210-1565",
"fax_number": "580-003-0352"
}
],
"practiceLocations": [
{
"address_1": "508 South Cearlock Ave",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "OK",
"postal_code": "73628",
"country_code": "US",
"telephone_number": "580-210-2024",
"fax_number": "580-200-3035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAYRE FAMILY MEDICINE CLINIC PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "5 STAR HEALTH, PLLC",
"enumeration_date": "2023-05-17",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "LANGLEY",
"authorized_official_first_name": "SONJA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-210-2024"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayre, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.