Edmond Urgent Care Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EDMOND URGENT CARE INC.

Practice address

1101 NW 178TH St
Suite B
Edmond, OK 73012-4281

Phone

(405) 799-7400

NPI assigned

May 31, 2013

Organization subpart

No

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

Authorized official

Name

Tommy CampNPI 1508807520

Title

Auth Offical

Phone

(405) 285-2161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tommy Dean Camp, P.A.

  • Medical Physician Assistant
  • Edmond, OK
  • NPI 1508807520
  Medicare reassignment Care Compare group Authorized official
• Larry Lovelace, DO

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1275511735
  Medicare reassignment Care Compare group
• Robert R Young, PA

  • Physician Assistant
  • Shawnee, OK
  • NPI 1730139015
  Medicare reassignment Care Compare group
• Nikki Zybach, P.A.

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1457565988
  Medicare reassignment Care Compare group
• Shannon Miller, APRN-CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1063850766
  NPD (past)

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1346687241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NW 178TH ST",
            "address_2": "SUITE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NW 178TH ST",
            "address_2": "SUITE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124281",
            "telephone_number": "405-799-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND URGENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "AUTH OFFICAL",
        "authorized_official_telephone_number": "405-285-2161"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond Premier Drug LLC
• Edmond Primary Care LLC
• Edmond Public Schools
• Edmond Regional Eye Associates Inc
• Edmond Speech Therapy LLC
• Edmond Wheelchair Repair & Supply, LLC
• Edmondson Family Therapy
• Jennifer Erin Edmondson, LPC, LADC, CMIII
• Edward C Holmes Chiropractic PC
• Edwards Clinic of Chiropractic P.C.

• Urgent Care Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Urgent Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.