Organization Active NPI

Lovell Family Clinic, PC

  • Family Medicine Physician
  • Henryetta, OK
National Provider Identifier
1316130412
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2101 Issued in OK
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

Updated by the provider on Mar 3, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200065450AMedicaidOK

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.