Carpenter Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11778 Issued in OK

Legal business name

CARPENTER CLINIC PLLC

Practice address

201 N Monte Vista St
Ste a
Ada, OK 74820-7213

Phone

(580) 332-4418

Fax

(580) 332-0324

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jo Ann Carpenter, MD

Title

Owner

Phone

(580) 332-4418

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1497186357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MONTE VISTA ST STE A",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207220",
            "telephone_number": "580-332-4418",
            "fax_number": "580-332-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MONTE VISTA ST",
            "address_2": "STE A",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207213",
            "telephone_number": "580-332-4418",
            "fax_number": "580-332-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPENTER CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-332-4418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "11778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Canup, LPC, LADC
• Nina Capps
• Lonnie Carbaugh, LPC
• Care Plus Health Providers LLC
• Kayla Dawn Carmichael, PHARMD, BCACP, CDCES
• Codi Carpenter
• Deanna Carpitche
• Melanie S Carson, BSW
• Adam Carter, PT
• Kayla Michelle Carter

• Family Medicine Physician in Ada, OK
• Providers in Ada, 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 Jul 7, 2014; 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.