NPIMap

Integris Rural Health Inc.

Organization Active NPI Family Medicine Physician · Enid, OK

NPI 1629337381 · NPPES record last updated Jul 24, 2012

Key facts

NPI
1629337381
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
INTEGRIS RURAL HEALTH INC.
Practice address
915 E Garriott Rd
Suite B
Enid, OK 73701-6153
Phone
(580) 213-9745
Fax
(580) 234-5749
NPI assigned
May 15, 2012
Organization subpart
No

Authorized official

Name
Jordan D Cash
Title
VP Integris Bass Baptist Health Ctr
Phone
(580) 548-1367

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X OK Yes

Addresses

Primary practice location

915 E Garriott Rd
Suite B
Enid, OK 73701-6153

Mailing address

PO Box 960443
Oklahoma City, OK 73196-0443
Phone (580) 548-1367

Other identifiers

IdentifierTypeStateIssuer
200219500FMedicaidOK

Other names

  • Aaron Sizelove, DO Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 24, 2012.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1629337381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960443",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960443",
            "telephone_number": "580-548-1367",
            "fax_number": "580-548-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E GARRIOTT RD",
            "address_2": "SUITE B",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016153",
            "telephone_number": "580-213-9745",
            "fax_number": "580-234-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS RURAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP INTEGRIS BASS BAPTIST HEALTH CTR",
        "authorized_official_telephone_number": "580-548-1367"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200219500F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aaron Sizelove, DO Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

All providers in Enid, OK · Family Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.