Active NPI
A K L M D PLLC
- Independent Medical Examiner Physician
- Edmond, OK
National Provider Identifier
1275655201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Physician
- License
- 24235
- Legal business name
- A K L M D PLLC
- Practice address
- 3815 S Boulevard St
Edmond, OK 73013-5479 - Phone
- (405) 341-9996
- Fax
- (405) 330-3566
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Amanda K Levine, M.D.
- Title
- Partner
- Phone
- (405) 341-9996
National Provider Directory
Locations
3815 S Boulevard
Edmond, OK 73013
Phone (405) 285-7568
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | 24235 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3815 S Boulevard St
Edmond, OK 73013-5479
Mailing address
3815 S Boulevard St
Edmond, OK 73013-5479
Phone (405) 341-9996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2007.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1275655201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 S BOULEVARD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135479",
"telephone_number": "405-341-9996",
"fax_number": "405-330-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 S BOULEVARD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135479",
"telephone_number": "405-341-9996",
"fax_number": "405-330-3566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A K L M D PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "405-341-9996",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "202C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Independent Medical Examiner",
"state": "OK",
"license": "24235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.