Organization Active NPI

Falling Water Medical Associates, PLLC

Doing business as Fallingwater Med Assoc, PLLC at Brookwood

  • Family Medicine Physician
  • Duncan, OK
National Provider Identifier
1407366784
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29349 Issued in OK
Legal business name
FALLING WATER MEDICAL ASSOCIATES, PLLC
Doing business as
Fallingwater Med Assoc, PLLC at Brookwood
Fallingwater Medical Associates, PLLC
Practice address
2434 Harville Rd Ste 100
Duncan, OK 73533-0100
Phone
(580) 255-8564
Fax
(580) 255-8640
NPI assigned
Oct 2, 2017
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FALLING WATER MEDICAL ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Mr. Francis James McGouran III, MDNPI 1205819570
Title
Physician
Phone
(580) 255-8564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29349 OK Primary

Addresses

Primary practice location

2434 Harville Rd Ste 100
Duncan, OK 73533-0100

Mailing address

2434 Harville Rd Ste 100
Duncan, OK 73533-0100
Phone (580) 255-8564

Other names 2

  • Fallingwater Med Assoc, PLLC at Brookwood Doing business as
  • Fallingwater Medical Associates, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000225 OK Part B Supplier - Clinic/Group Practice 7911957139 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Duncan, OK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Falling Water Medical a

Locations

2434 Harville Rd
Ste 100
Duncan, OK 73533
Phone (405) 278-8006

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1407366784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 HARVILLE RD STE 100",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735330100",
            "telephone_number": "580-255-8564",
            "fax_number": "580-255-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 HARVILLE RD STE 100",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735330100",
            "telephone_number": "580-255-8564",
            "fax_number": "580-255-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLING WATER MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALLING WATER MEDICAL ASSOCIATES, PLLC",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "MCGOURAN",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-255-8564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "29349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallingwater Med Assoc, PLLC at Brookwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fallingwater Med Assoc, PLLC at Brookwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fallingwater Medical Associates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.