Organization Active NPI

Family Clinic PLLC

  • Internal Medicine Physician
  • Edmond, OK
National Provider Identifier
1285792465
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19859 Issued in OK
Legal business name
FAMILY CLINIC PLLC
Practice address
3008 NW 168TH CT
Edmond, OK 73012-6787
Phone
(580) 210-0040
Fax
(405) 330-9082
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Sarfaraz Anwar, M.D
Title
Owner
Phone
(580) 210-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 19859 OK Primary

Addresses

Primary practice location

3008 NW 168TH CT
Edmond, OK 73012-6787

Mailing address

3008 NW 168TH CT
Edmond, OK 73012-6787
Phone (580) 210-0040

Other identifiers 1

IdentifierTypeStateIssuer
200039780AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1285792465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 NW 168TH CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126787",
            "telephone_number": "580-210-0040",
            "fax_number": "405-330-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 NW 168TH CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126787",
            "telephone_number": "580-210-0040",
            "fax_number": "405-330-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "SARFARAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-210-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "19859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039780A",
            "state": "OK"
        }
    ],
    "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 Sep 2, 2015; 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.