Checotah Medical Center, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CHECOTAH MEDICAL CENTER, P.C.

Practice address

915 W Gentry Ave
Checotah, OK 74426-2026

Phone

(918) 617-9000

NPI assigned

Aug 15, 2016

Last updated

Aug 15, 2016By 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

Dr. Eric Timothy Hogan, D.O.

Title

President

Phone

(918) 617-9000

Specialties & licenses 1

Addresses

Other names 1

• Ironhead Medical Clinic Other name

Locations

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1609320092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744320846",
            "telephone_number": "918-617-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W GENTRY AVE",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744262026",
            "telephone_number": "918-617-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHECOTAH MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-617-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ironhead Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Billy Wayne Hill, O.D., P.C.
• Teresa Lynne Brown, APRN-CNP
• Tammy Carnes
• Cedar Holding, LLC (Cedar Manor)
• Checotah Holdings, LLC (Checotah Manor)
• Checotah Nursing and Rehabilitation LLC
• Checotah Nursing Center LLC (Checotah Nursing Center)
• Choices for Life Foster Care, Inc.
• Christopher M Mitchell MD PLLC
• City of Checotah

• Primary Care Clinic/Center in Checotah, OK
• Providers in Checotah, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.