NPIMap

Organization Active NPI

Urgent Medcare Clinic

  • Family Medicine Physician
  • Tuttle, OK
National Provider Identifier
1407932981
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
URGENT MEDCARE CLINIC
Practice address
4805 E Highway 37
Tuttle, OK 73089-8791
Phone
(405) 381-9979
Fax
(405) 381-9130
NPI assigned
Oct 27, 2006
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Deborah D Holder, PA-C
Title
Office Manager
Phone
(405) 381-9979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4805 E Highway 37
Tuttle, OK 73089-8791

Mailing address

4805 E Highway 37
Tuttle, OK 73089-8791
Phone (405) 381-9979

Other identifiers 3

IdentifierTypeStateIssuer
200054600CMedicaidOK
200054600BMedicaidOK
200054600AMedicaidOK

National Provider Directory

National Provider Directory

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1407932981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 E HIGHWAY 37",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898791",
            "telephone_number": "405-381-9979",
            "fax_number": "405-381-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 E HIGHWAY 37",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898791",
            "telephone_number": "405-381-9979",
            "fax_number": "405-381-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT MEDCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-381-9979",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200054600C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200054600B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200054600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuttle, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.