Organization Active NPI

Emergency Physicians of Midwest City L.L.C.

  • Medical Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1396881959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
363A00000X Issued in OK
Legal business name
EMERGENCY PHYSICIANS OF MIDWEST CITY L.L.C.
Practice address
2412 Pantheon Cir
Oklahoma City, OK 73170
Phone
(405) 691-1159
NPI assigned
Jan 30, 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
Dr. Dan Donnell, M.D.
Title
Physiian
Phone
(405) 348-6621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 363A00000X OK Primary

Addresses

Primary practice location

2412 Pantheon Cir
Oklahoma City, OK 73170

Mailing address

2412 Pantheon Cir
Oklahoma City, OK 73170-3236
Phone (405) 691-1159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396881959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 PANTHEON CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731703236",
            "telephone_number": "405-691-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 PANTHEON CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73170",
            "telephone_number": "405-691-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS OF MIDWEST CITY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONNELL",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PHYSIIAN",
        "authorized_official_telephone_number": "405-348-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "363A00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, 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.