Active NPI
AMC Urgent Care Plus, LLC
- General Practice Physician
- Ponca City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- AMC URGENT CARE PLUS, LLC
- Practice address
- 2101 N 14TH St
Ste 114
Ponca City, OK 74601-1807 - Phone
- (580) 762-1552
- NPI assigned
- Aug 9, 2006
- Last updated
- Apr 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keri Self
- Title
- Operations Manager
- Phone
- (580) 762-2366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
2101 N 14TH St
Ste 114
Ponca City, OK 74601-1807
Mailing address
2101 N 14TH St
Ste 114
Ponca City, OK 74601-1807
Phone (580) 762-1552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1062738 | AMC Urgent Care Plus | Accreditation | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
816 W Tucson St
Broken Arrow, OK 74011
Phone (580) 762-2366
9003 N Garnett Rd
Owasso, OK 74055
Phone (918) 272-2882
2101 N 14th St
Ste 114
Ponca City, OK 74601
Phone (580) 762-1552
1909 W 6th Ave
#B
Stillwater, OK 74074
Phone (405) 385-0029
Practitioners & affiliated clinicians
Practitioners 34
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
- Blackwell, OK
- NPI 1528064805
-
- Family Nurse Practitioner
- Ponca City, OK
- NPI 1205206109
-
- Family Nurse Practitioner
- Stillwater, OK
- NPI 1134607310
-
- Physician Assistant
- Tulsa, OK
- NPI 1417730102
-
- Family Medicine Physician
- Blackwell, OK
- NPI 1528064763
-
- Family Nurse Practitioner
- Stillwater, OK
- NPI 1700239050
-
- Family Nurse Practitioner
- Owasso, OK
- NPI 1033951363
-
- Nurse Practitioner
- Tulsa, OK
- NPI 1528543014
-
- Physician Assistant
- Ponca City, OK
- NPI 1801810783
-
- Physician Assistant
- Blackwell, OK
- NPI 1275959314
-
- Family Nurse Practitioner
- Mustang, OK
- NPI 1689493348
-
- Physician Assistant
- Stillwater, OK
- NPI 1235604984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586304000000",
"number": "1285644153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 N 14TH ST",
"address_2": "STE 114",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011807",
"telephone_number": "580-762-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N 14TH ST",
"address_2": "STE 114",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011807",
"telephone_number": "580-762-1552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMC URGENT CARE PLUS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A",
"authorized_official_last_name": "SELF",
"authorized_official_first_name": "KERI",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "580-762-2366"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.