Organization Active NPI

Roger L Kinney MD PC

  • General Practice Physician
  • Sapulpa, OK
National Provider Identifier
1548449374
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROGER L KINNEY MD PC
Practice address
27 N Main St
Sapulpa, OK 74066-3901
Phone
(918) 248-5393
Fax
(918) 248-5399
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Roger L Kinney, MD
Title
Physician
Phone
(918) 248-5393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

27 N Main St
Sapulpa, OK 74066-3901

Mailing address

27 N Main St
Sapulpa, OK 74066-3901
Phone (918) 248-5393

Other identifiers 1

IdentifierTypeStateIssuer
443402928004OtherOKBLUE CROSS

National Provider Directory

National Provider Directory

Locations

27 N Main St
Sapulpa, OK 74066
Phone (918) 248-5393

8596 E 101st St
Ste C
Tulsa, OK 74133
Phone (918) 615-6298

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1548449374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 N MAIN ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740663901",
            "telephone_number": "918-248-5393",
            "fax_number": "918-248-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N MAIN ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740663901",
            "telephone_number": "918-248-5393",
            "fax_number": "918-248-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L KINNEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-248-5393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "443402928004",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.