Family Medicine Specialists, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE SPECIALISTS, P.C.

Practice address

3700 N Kickapoo Ave
Suite 124
Shawnee, OK 74804-1707

Phone

(405) 273-6383

Fax

(405) 214-1075

NPI assigned

Aug 30, 2006

Last updated

Jul 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Michelle Ferrell

Title

Office Manager

Phone

(405) 273-6383

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Keith A. Conaway, M.D.

  • Family Medicine Physician
  • Shawnee, OK
  • NPI 1528035284
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1407966575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N KICKAPOO AVE",
            "address_2": "SUITE 124",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041707",
            "telephone_number": "405-273-6383",
            "fax_number": "405-214-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N KICKAPOO AVE",
            "address_2": "SUITE 124",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041707",
            "telephone_number": "405-273-6383",
            "fax_number": "405-214-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-273-6383"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100745230C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rylee Evans, SLP
• Jordan Scott Ewert, O.D.
• Faith 7 Activity Center
• Family Eye Care of Shawnee PLLC
• Family Healthcare Associates PLLC
• Dana Darlene Farriell, MASTERS COUNSELING
• Cierra Farris
• Fastcare Medical Clinic of Shawnee
• Kristina Feezor, APRN
• Amanda Kaylene Felkner, LPN

• Family Medicine Physician in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.