Active NPI
Lovell Family Clinic, PC
- Family Medicine Physician
- Henryetta, OK
National Provider Identifier
1316130412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2101
- Legal business name
- LOVELL FAMILY CLINIC, PC
- Practice address
- 1102 W Main St
Henryetta, OK 74437-4232 - Phone
- (918) 652-9614
- Fax
- (918) 652-4831
- NPI assigned
- Aug 22, 2007
- 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
- Donna Lovell
- Title
- Cfo
- Phone
- (918) 652-9614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2101 | OK | Primary |
Addresses
Primary practice location
1102 W Main St
Henryetta, OK 74437-4232
Mailing address
PO Box 310
Henryetta, OK 74437-0310
Phone (918) 652-9614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200065450A | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Henryetta, OK
- NPI 1740394881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1316130412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "HENRYETTA",
"state": "OK",
"postal_code": "744370310",
"telephone_number": "918-652-9614",
"fax_number": "918-652-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W MAIN ST",
"city": "HENRYETTA",
"state": "OK",
"postal_code": "744374232",
"telephone_number": "918-652-9614",
"fax_number": "918-652-4831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVELL FAMILY CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-22",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "LOVELL",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "918-652-9614"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "2101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200065450A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henryetta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.