Jeannie M MC Cance MD PLLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

16881 Issued in OK

Legal business name

JEANNIE M MC CANCE MD PLLC

Practice address

826 E Broadway St
Muskogee, OK 74403-5124

Phone

(918) 687-1634

Fax

(918) 398-4408

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannie M MC Cance, M.D.

Title

Owner

Phone

(918) 687-1634

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1467631903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035124",
            "telephone_number": "918-687-1634",
            "fax_number": "918-398-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 E BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035124",
            "telephone_number": "918-687-1634",
            "fax_number": "918-398-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE M MC CANCE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "MC CANCE",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-687-1634",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OK",
            "license": "16881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Exclusive Provider Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.