Active NPI
Falling Water Medical Associates, PLLC
Doing business as Fallingwater Med Assoc, PLLC at Brookwood
- Family Medicine Physician
- Duncan, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29349
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- FALLING WATER MEDICAL ASSOCIATES, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Francis James McGouran III, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Fallingwater Medical Associates, PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Family Medicine Physician
- Duncan, OK
- NPI 1538109319
O20050126000225
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.
-
- Family Medicine Physician
- Duncan, OK
- NPI 1205819570
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.