Heritage Park Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HERITAGE PARK MEDICAL CENTER INC

Practice address

6908 E Reno Ave
Midwest City, OK 73110-2128

Phone

(405) 737-6871

Fax

(405) 737-7700

NPI assigned

Oct 24, 2006

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori K Danker

Title

Practice Administrator

Phone

(405) 737-1242

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avinash Chandra Vyas, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1902878739
  NPD
• Carl N. Griffin, D.O.

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1548365117
  NPD (past)
• Peter W Keupen, PA-C

  • Medical Physician Assistant
  • Midwest City, OK
  • NPI 1205955432
  NPD (past)
• Kim A Ryan, PA

  • Physician Assistant
  • Midwest City, OK
  • NPI 1396927760
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1326122706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25016",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250016",
            "telephone_number": "405-737-6871",
            "fax_number": "405-737-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102128",
            "telephone_number": "405-737-6871",
            "fax_number": "405-737-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PARK MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "DANKER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "405-737-1242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200102570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Shawn Herbert, D. C.
• Heritage Park Eye Care Center (Vision Source Midwest City)
• Heritage Park Eye Care Center (Vision Source Midwest City)
• Heritage Park Eye Care Center (Vision Source Midwest City)
• Heritage Park Eye Care Center (Vision Source Midwest City)
• Heritage Park Pharmacy, LLC
• Heritage Park Vision Source (Vision Source Midwest City)
• Faith Hernandez
• Hero Vision of Midwest City PLLC (Adventure Dental and Vision)
• Rachel Marie Herrera, OTA

• Family Medicine Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.