GKS Calera Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GKS CALERA CLINIC LLC

Practice address

213 E Main St Ste 200
Calera, OK 74730-2116

Phone

(580) 434-6800

NPI assigned

Jul 23, 2021

Last updated

Jul 23, 2021By 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

Stephen Khoury, DO

Title

Owner

Phone

(580) 775-2332

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Jodie H Moore, APRN-CNP

  • Family Nurse Practitioner
  • Boswell, OK
  • NPI 1669031266
  NPD (past)
• Tabitha Nave, APRN-CNP

  • Family Nurse Practitioner
  • Atoka, OK
  • NPI 1376068460
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1558934737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E MAIN ST STE 200",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747302116",
            "telephone_number": "580-434-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E MAIN ST STE 200",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747302116",
            "telephone_number": "580-434-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GKS CALERA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-775-2332",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calera Public Schools
• Calera Radiology LLC
• Gina Kay Compton, MA
• Gabriela Frazier, FNP
• Sandra Dee Gainey
• GKS Radiology LLC
• Alecia Gossett I
• Kelly Gould
• Hanna Medical Supply, Inc.
• Pamela Arlene Harrington, SLPA

• Family Medicine Physician in Calera, OK
• Providers in Calera, 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 23, 2021; 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.