NPIMap

Organization Active NPI

Choctaw Wellness Enterprises, LLC

Doing business as Choctaw After-Hours

  • Family Medicine Physician
  • Choctaw, OK
National Provider Identifier
1346441896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18237 Issued in OK
Legal business name
CHOCTAW WELLNESS ENTERPRISES, LLC
Doing business as
Choctaw After-Hours
Practice address
15803 NE 23Rd St
Choctaw, OK 73020-8428
Phone
(405) 390-9600
Fax
(405) 390-9400
NPI assigned
May 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lorrie A. Carpenter
Title
Owner
Phone
(405) 390-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18237 OK Primary

Addresses

Primary practice location

15803 NE 23Rd St
Choctaw, OK 73020-8428

Mailing address

PO Box 10
Choctaw, OK 73020-0010
Phone (405) 390-9600

Other names 1

  • Choctaw After-Hours Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346441896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730200010",
            "telephone_number": "405-390-9600",
            "fax_number": "405-390-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15803 NE 23RD ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208428",
            "telephone_number": "405-390-9600",
            "fax_number": "405-390-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW WELLNESS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-390-9600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw After-Hours",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Choctaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.