Organization Active NPI

Thomas Family Care LLC

  • Internal Medicine Physician
  • Chickasha, OK
National Provider Identifier
1578725636
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17600 Issued in OK
Legal business name
THOMAS FAMILY CARE LLC
Practice address
1928 S 4TH St
Chickasha, OK 73018-5903
Phone
(405) 224-7755
Fax
(405) 224-7748
NPI assigned
Jun 30, 2008
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Mr. Brady G Aunko
Title
Administrator
Phone
(405) 224-7755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 17600 OK Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X PA 467 OK

Addresses

Primary practice location

1928 S 4TH St
Chickasha, OK 73018-5903

Mailing address

1928 S 4TH St
Chickasha, OK 73018-5903
Phone (405) 224-7755

Other identifiers 1

IdentifierTypeStateIssuer
200131240AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1578725636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 S 4TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185903",
            "telephone_number": "405-224-7755",
            "fax_number": "405-224-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 S 4TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185903",
            "telephone_number": "405-224-7755",
            "fax_number": "405-224-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "AUNKO",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-224-7755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "17600",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA 467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200131240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.