Organization Active NPI

North Side Internal Medicine PLLC

  • Medical Specialty Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1497743181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
18076 Issued in OK
Legal business name
NORTH SIDE INTERNAL MEDICINE PLLC
Practice address
6957 NW Expressway
Suite #301
Oklahoma City, OK 73132-3533
Phone
(405) 749-1484
Fax
(405) 749-1484
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jon Christopher Liprie, MDNPI 1528130481
Title
Managing Member
Phone
(405) 749-1484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 18076 OK Primary

Addresses

Primary practice location

6957 NW Expressway
Suite #301
Oklahoma City, OK 73132-3533

Mailing address

6957 NW Expressway
Suite #301
Oklahoma City, OK 73132-3533
Phone (405) 749-1484

National Provider Directory

National Provider Directory

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": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497743181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 NW EXPRESSWAY",
            "address_2": "SUITE #301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323533",
            "telephone_number": "405-749-1484",
            "fax_number": "405-749-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 NW EXPRESSWAY",
            "address_2": "SUITE #301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323533",
            "telephone_number": "405-749-1484",
            "fax_number": "405-749-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SIDE INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPRIE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-749-1484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "18076",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.