NPIMap

Organization Active NPI

Urgent Care of Green Country PLLC

  • Urgent Care Clinic/Center
  • Bixby, OK
National Provider Identifier
1376697003
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE OF GREEN COUNTRY PLLC
Practice address
11717 South Memorial
Bixby, OK 74008
Phone
(918) 369-9555
Fax
(918) 369-9556
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Stephen Robert Kovacs, DO
Title
Owner
Phone
(918) 274-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OK Primary

Addresses

Primary practice location

11717 South Memorial
Bixby, OK 74008

Mailing address

PO Box 1044
Owasso, OK 74055
Phone (918) 274-8555

Other identifiers 3

IdentifierTypeStateIssuer
7835422OtherOKAETNA
200094640AMedicaidOK
200094640EOtherOKMEDICAID DME

National Provider Directory

National Provider Directory

Locations

4115 Redden
Pryor, OK 74361
Phone (918) 825-7555

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1376697003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1044",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-274-8555",
            "fax_number": "918-274-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 SOUTH MEMORIAL",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "74008",
            "telephone_number": "918-369-9555",
            "fax_number": "918-369-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF GREEN COUNTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-274-8555",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7835422",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094640A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "200094640E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.