NPIMap

Organization Active NPI

Western Medical Associates

  • Primary Care Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1295977064
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
03777 Issued in OK
Legal business name
WESTERN MEDICAL ASSOCIATES
Practice address
2149 SW 59TH St
Suite No. 104
Oklahoma City, OK 73119-7033
Phone
(405) 708-4686
Fax
(866) 611-2570
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Cecil Allen Moore, DO
Title
President/Medical Director
Phone
(405) 708-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 03777 OK Primary

Addresses

Primary practice location

2149 SW 59TH St
Suite No. 104
Oklahoma City, OK 73119-7033

Mailing address

2149 SW 59TH St
Suite No. 104
Oklahoma City, OK 73119-7033
Phone (405) 708-4686

Other identifiers 1

IdentifierTypeStateIssuer
1932195179OtherOKPERSONAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1295977064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 SW 59TH ST",
            "address_2": "SUITE NO. 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197033",
            "telephone_number": "405-708-4686",
            "fax_number": "866-611-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 SW 59TH ST",
            "address_2": "SUITE NO. 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197033",
            "telephone_number": "405-708-4686",
            "fax_number": "866-611-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-708-4686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "03777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1932195179",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 28, 2012; 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.