Muskogee Family Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0035256 Issued in OK

Legal business name

MUSKOGEE FAMILY CARE LLC

Practice address

1118 W Broadway St
Muskogee, OK 74401-6246

Phone

(918) 681-4646

Fax

(918) 684-9023

NPI assigned

May 14, 2007

Last updated

Oct 21, 2009By 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

Mr. Michael S. Smith, A.R.N.P.NPI 1104816602

Title

Owner

Phone

(918) 681-4646

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Michael S. Smith, A.R.N.P.

  • Family Nurse Practitioner
  • Muskogee, OK
  • NPI 1104816602
  Authorized official Same address or phone

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1336354182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016246",
            "telephone_number": "918-681-4646",
            "fax_number": "918-684-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016246",
            "telephone_number": "918-681-4646",
            "fax_number": "918-684-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-681-4646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.R.N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0035256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200074640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muskogee Dental and Implants LLC
• Muskogee Dental Group, Inc.
• Muskogee Diagnostic Imaging
• Muskogee Dialysis LLC (Muskogee Community Dialysis Center)
• Muskogee Digestive Center Inc
• Muskogee Family Medicine, LLC
• Muskogee Family Practice
• Muskogee Foot Clinic Inc.
• Muskogee Health Services LLC
• Muskogee Heart Center, Inc.

• Family Nurse Practitioner in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.