Owasso Medical Facility LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

2374 Issued in OK

Legal business name

OWASSO MEDICAL FACILITY LLC

Practice address

12451 E 100TH St N
Owasso, OK 74055-4600

Phone

(918) 274-5000

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David L Phillips

Title

Ceo

Phone

(918) 744-2113

Specialties & licenses 1

Addresses

Other names 1

• St John Owasso ER Other name

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497960009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12451 E 100TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554600",
            "telephone_number": "918-274-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12451 E 100TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554600",
            "telephone_number": "918-274-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWASSO MEDICAL FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-744-2113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "OK",
            "license": "2374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St John Owasso ER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Owasso Drug Company LLC
• Owasso Eye Institute Inc
• Owasso Family Denistry
• Owasso Family Medicine, PLLC
• Owasso Medical Facility LLC
• Owasso Medical Facility, Inc
• Owasso Nursing Center, Inc.
• Owasso Orthodontics
• Owasso Pain Management
• Owasso Pediatric and Adolescent Medicine, P.L.C.

• Emergency Care Clinic/Center in Owasso, OK
• Providers in Owasso, OK by specialty
• Emergency Care Clinic/Center in Oklahoma

• 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.