Noble Family Healthcare Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NOBLE FAMILY HEALTHCARE CLINIC

Practice address

205 S. Main
Noble, OK 73068-2096

Phone

(405) 872-5403

Fax

(405) 872-5407

NPI assigned

Nov 30, 2006

Last updated

Nov 7, 2014By 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

Mr. Brian T Pendarvis, NPNPI 1417952904

Title

Ceo

Phone

(405) 872-5403

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Brian Travis Pendarvis, ARNP

  • Family Nurse Practitioner
  • Noble, OK
  • NPI 1417952904
  Medicare reassignment Care Compare group Authorized official
• Kevin Jay Faris, M.D.

  • Internal Medicine Physician
  • Noble, OK
  • NPI 1003888207
  Medicare reassignment Care Compare group NPD
• Sergio G Demier, D.O.

  • Family Medicine Physician
  • Seminole, OK
  • NPI 1558422337
  Medicare reassignment NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1447327622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2096",
            "address_2": "205 S. MAIN",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730682096",
            "telephone_number": "405-872-5403",
            "fax_number": "405-872-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S. MAIN",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730682096",
            "telephone_number": "405-872-5403",
            "fax_number": "405-872-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE FAMILY HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "PENDARVIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-872-5403",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Leann McHugh-Williams
• Debrah Ann Morris, SLP
• Gary D. Nabors Jr., DDS
• Noble Chiropractic Center P.C.
• Noble Eye Care & Optical PLLC
• Noble Family Medical Center
• Noble Family Medicine LLC
• Noble Minds Community Mental Health
• Noble Public Schools
• O'Sullivan Orthotics, Inc.

• Clinic/Center in Noble, OK
• Providers in Noble, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.