Organization Active NPI

Jim D Lowery MD PLLC

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1437596483
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
149140 Issued in OK
Legal business name
JIM D LOWERY MD PLLC
Practice address
1117 NW 50TH St
Oklahoma City, OK 73118-4401
Phone
(405) 842-4435
Fax
(405) 842-2846
NPI assigned
May 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Katrinka Underkoffler
Title
Office Manager
Phone
(405) 842-4435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 149140 OK Primary

Addresses

Primary practice location

1117 NW 50TH St
Oklahoma City, OK 73118-4401

Mailing address

1117 NW 50TH St
Oklahoma City, OK 73118-4401
Phone (405) 842-4435

Other identifiers 1

IdentifierTypeStateIssuer
100130840AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1117 NW 50th St
Lowr Md
Oklahoma City, OK 73118
Phone (405) 842-4435

1117 NW 50th St
Oklahoma City, OK 73118
Phone (405) 842-4435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1437596483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184401",
            "telephone_number": "405-842-4435",
            "fax_number": "405-842-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184401",
            "telephone_number": "405-842-4435",
            "fax_number": "405-842-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM D LOWERY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "UNDERKOFFLER",
        "authorized_official_first_name": "KATRINKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-842-4435"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "149140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100130840A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.