Organization Active NPI

Frontera Medical

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1447914692
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FRONTERA MEDICAL
Practice address
701 NE 36TH St
Oklahoma City, OK 73105-7203
Phone
(405) 252-0811
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Katherine Pellow
Title
Manager
Phone
(405) 252-0811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

701 NE 36TH St
Oklahoma City, OK 73105-7203

Mailing address

701 NE 36TH St
Oklahoma City, OK 73105-7203
Phone (405) 252-0811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1447914692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NE 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731057203",
            "telephone_number": "405-252-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NE 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731057203",
            "telephone_number": "405-252-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTERA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "PELLOW",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-252-0811"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 25, 2021; 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.