Organization Active NPI

Krablin Medical Clinic of Hennessey PC

  • Internal Medicine Physician
  • Hennessey, OK
National Provider Identifier
1609109735
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21711 Issued in OK
Legal business name
KRABLIN MEDICAL CLINIC OF HENNESSEY PC
Practice address
522 N. Main
Hennessey, OK 73742
Phone
(405) 853-6633
NPI assigned
Sep 8, 2009
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Dr. James Brett Krablin, MD
Title
Owner
Phone
(405) 853-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21711 OK Primary

Addresses

Primary practice location

522 N. Main
Hennessey, OK 73742

Mailing address

522 N. Main
Hennessey, OK 73742
Phone (405) 853-6633

National Provider Directory

National Provider Directory

Locations

522 N Main St
Hennessey, OK 73742
Phone (405) 853-6633

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1609109735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N. MAIN",
            "city": "HENNESSEY",
            "state": "OK",
            "postal_code": "73742",
            "telephone_number": "405-853-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N. MAIN",
            "city": "HENNESSEY",
            "state": "OK",
            "postal_code": "73742",
            "telephone_number": "405-853-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRABLIN MEDICAL CLINIC OF HENNESSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "KRABLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-853-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "21711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hennessey, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.