Organization Active NPI

Hopper Medical Clinic

  • Internal Medicine Physician
  • Grove, OK
National Provider Identifier
1568568475
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16302 Issued in OK
Legal business name
HOPPER MEDICAL CLINIC
Practice address
601 S Broadway St
Grove, OK 74344-3429
Phone
(918) 786-9088
Fax
(918) 786-9682
NPI assigned
Sep 16, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Robert Wayne Hopper, MD
Title
Owner
Phone
(918) 786-9088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16302 OK Primary

Addresses

Primary practice location

601 S Broadway St
Grove, OK 74344-3429

Mailing address

601 S Broadway St
Grove, OK 74344-3429
Phone (918) 786-9088

National Provider Directory

National Provider Directory

Locations

601 S Broadway St
Grove, OK 74344
Phone (918) 786-0800

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1568568475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S BROADWAY ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443429",
            "telephone_number": "918-786-9088",
            "fax_number": "918-786-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S BROADWAY ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443429",
            "telephone_number": "918-786-9088",
            "fax_number": "918-786-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPPER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-786-9088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "16302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.