NPIMap

Organization Active NPI

Elite Integral Staffing LLC

Doing business as Elite Integral Staffing

  • Emergency Medicine Physician
  • Durant, OK
National Provider Identifier
1609648062
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ELITE INTEGRAL STAFFING LLC
Doing business as
Elite Integral Staffing
Practice address
1800 W University Blvd
Durant, OK 74701-3006
Phone
(719) 688-1483
NPI assigned
Oct 27, 2023
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Dr. Michael Glen Cranford, DONPI 1528553153
Title
Owner
Phone
(719) 688-1483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

1800 W University Blvd
Durant, OK 74701-3006

Mailing address

4019 W Highway 70 Ste 309
Durant, OK 74701-4591
Phone (719) 688-1483

Other practice location 1

901 S 5th Ave
Madill, OK 73446-3640
Phone (719) 688-1483

Other names 1

  • Elite Integral Staffing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528000354 OK Part B Supplier - Clinic/Group Practice 0648612341 Receives reassigned benefits from 30 practitioners
Practice locations: Durant, OK; Madill, OK

National Provider Directory

National Provider Directory

Locations

1600 W University Blvd
Durant, OK 74701
Phone (580) 740-0205

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1609648062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 W HIGHWAY 70 STE 309",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014591",
            "telephone_number": "719-688-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013006",
            "telephone_number": "719-688-1483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Madill",
            "state": "OK",
            "postal_code": "734463640",
            "country_code": "US",
            "telephone_number": "719-688-1483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE INTEGRAL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "CRANFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-688-1483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Integral Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.