NPIMap

Organization Active NPI

Simple Clinic, LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1285864397
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
25197 Issued in OK
Legal business name
SIMPLE CLINIC, LLC
Practice address
415 SW 59TH St
Oklahoma City, OK 73109-8303
Phone
(405) 631-0611
Fax
(405) 631-0811
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Brett Cauthen
Title
Clinical Director
Phone
(405) 740-1968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 25197 OK Primary

Addresses

Primary practice location

415 SW 59TH St
Oklahoma City, OK 73109-8303

Mailing address

415 SW 59TH St
Oklahoma City, OK 73109-8303
Phone (405) 631-0611

Other identifiers 1

IdentifierTypeStateIssuer
200252410AMedicaidOK

Other names 1

  • Today Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1318A W Main St
Lewisville, TX 75067
Phone (214) 222-0781

1318 W Main St
#A
Lewisville, TX 75067

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1285864397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731098303",
            "telephone_number": "405-631-0611",
            "fax_number": "405-631-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731098303",
            "telephone_number": "405-631-0611",
            "fax_number": "405-631-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "CAUTHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "405-740-1968"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OK",
            "license": "25197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200252410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.