Midwest Medical Group PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIDWEST MEDICAL GROUP PLLC

Practice address

1201 S Douglas Blvd
Suite J
Midwest City, OK 73130-5239

Phone

(405) 739-6840

Fax

(405) 732-7149

NPI assigned

Dec 22, 2005

Last updated

Dec 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Anderson

Title

Office Manager

Phone

(405) 739-6840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADIBBA

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Terry Anderson, MD

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1346226164
  Medicare reassignment Care Compare group NPD
• Melvin Dean Cook Jr., MD

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1568448306
  Medicare reassignment Care Compare group NPD
• Aubrey A Kavanaugh, M.D.

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1487966313
  Medicare reassignment Care Compare group NPD
• Stacey D Knapp, DO

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1104826569
  Medicare reassignment Care Compare group NPD
• Tanner E McDaniel, MD

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1669458451
  Medicare reassignment Care Compare group NPD
• Joshua Scott Smith, M.D.

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1245671908
  Medicare reassignment NPD
• Alfred C Degner, MD

  • Diagnostic Radiology Physician
  • Midwest City, OK
  • NPI 1891755294
  NPD (past)
• Patrick Morgan, M.D.

  • Internal Medicine Physician
  • Midwest City, OK
  • NPI 1598748113
  NPD (past)
• Timothy Brian Jones, M.D.

  • Emergency Medicine Physician
  • Dimmitt, TX
  • NPI 1477515286

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1508842444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S DOUGLAS BLVD",
            "address_2": "SUITE J",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305239",
            "telephone_number": "405-739-6840",
            "fax_number": "405-732-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S DOUGLAS BLVD",
            "address_2": "SUITE J",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305239",
            "telephone_number": "405-739-6840",
            "fax_number": "405-732-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "405-739-6840"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest City Kidney Clinic PLLC (Midwest Nephrology Associate)
• Midwest City Post Acute & Rehab LLC
• Midwest City Specialists, LLC (Endodontics and Dental Implants of Oklahoma)
• Midwest Dermatology Incorporated PC
• Midwest Hma Home Health, LLC (Midwest Regional Home Health)
• Midwest Nephrology Associates PC
• Midwest Nephrology Group PLLC
• Midwest Oncology Group, PLLC
• Midwest Open MRI, LLC (Midwest Open MRI)
• Midwest Pathology Services

• Family Medicine Physician in Midwest City, OK
• Providers in Midwest City, 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 Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.