Organization Active NPI

Thomas C. Alexander, M.D., Inc.

  • Internal Medicine Physician
  • Okmulgee, OK
National Provider Identifier
1295841963
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8128 Issued in OK
Legal business name
THOMAS C. ALEXANDER, M.D., INC.
Practice address
1212 S Belmont Ave
Okmulgee, OK 74447-6310
Phone
(918) 756-5471
Fax
(918) 756-5498
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Thomas Crawford Alexander, M.D.
Title
President
Phone
(918) 756-5471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 8128 OK Primary

Addresses

Primary practice location

1212 S Belmont Ave
Okmulgee, OK 74447-6310

Mailing address

1212 S Belmont Ave
Okmulgee, OK 74447-6310
Phone (918) 756-5471

Other identifiers 6

IdentifierTypeStateIssuer
$$$$$$$$$OtherOKSSN
100109390AMedicaidOH
444322851001OtherOKBCBS PROVIDER
0060321OtherOKUNITED MINE WORKERS
50657OtherOKBLUE LINCS PROVIDER
112859759OtherOKRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1212 S Belmont Ave
Okmulgee, OK 74447
Phone (918) 756-5471

Practitioners & affiliated clinicians

Practitioners 1

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1295841963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S BELMONT AVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476310",
            "telephone_number": "918-756-5471",
            "fax_number": "918-756-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S BELMONT AVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476310",
            "telephone_number": "918-756-5471",
            "fax_number": "918-756-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. ALEXANDER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CRAWFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-756-5471",
        "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": "8128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109390A",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "444322851001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "0060321",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINCS PROVIDER",
            "identifier": "50657",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "112859759",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.