NPIMap

Organization Active NPI

Pauls Valley General Hospital

  • Family Medicine Physician
  • Pauls Valley, OK
National Provider Identifier
1275865982
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R40858 Issued in OK
Legal business name
PAULS VALLEY GENERAL HOSPITAL
Practice address
100 Valley Dr
Pauls Valley, OK 73075
Phone
(405) 238-5501
Fax
(405) 238-5396
NPI assigned
Feb 4, 2010
Organization subpart
Yes
Parent organization
PAULS VALLEY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Patricia Chapman Weaver
Title
Business Office Exec
Phone
(405) 238-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R40858 OK Primary

Addresses

Primary practice location

100 Valley Dr
Pauls Valley, OK 73075

Mailing address

100 Valley Dr
Pauls Valley, OK 73075-6613
Phone (405) 238-5501

Other identifiers 2

IdentifierTypeStateIssuer
200276050AMedicaidOK
P37015601OtherOKMEDICARE PTAN

Other names 1

  • PAULS VALLEY PHYSICIANS CLINIC Doing business as

National Provider Directory

National Provider Directory
Part of
Pauls Vly Gen Hosp

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1275865982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VALLEY DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756613",
            "telephone_number": "405-238-5501",
            "fax_number": "405-238-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VALLEY DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "73075",
            "telephone_number": "405-238-5501",
            "fax_number": "405-238-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULS VALLEY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAULS VALLEY GENERAL HOSPITAL",
        "enumeration_date": "2010-02-04",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "CHAPMAN",
        "authorized_official_title_or_position": "BUSINESS OFFICE EXEC",
        "authorized_official_telephone_number": "405-238-5501"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "R40858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200276050A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P37015601",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAULS VALLEY PHYSICIANS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAULS VALLEY PHYSICIANS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.