Tecumseh Medical Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TECUMSEH MEDICAL CLINIC PC

Practice address

418 E Walnut St
Tecumseh, OK 74873

Phone

(405) 598-6595

Fax

(405) 598-6103

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Miss Wendy Faith Heller, DO

Title

President

Phone

(405) 598-6595

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1427140086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E WALNUT ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "74873",
            "telephone_number": "405-598-6595",
            "fax_number": "405-598-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E WALNUT ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "74873",
            "telephone_number": "405-598-6595",
            "fax_number": "405-598-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECUMSEH MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-598-6595",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thushara Thomas
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• Family Medicine Physician in Tecumseh, OK
• Providers in Tecumseh, 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 Jan 20, 2010; 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.