Muskogee Medical Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25016 Issued in OK

Legal business name

MUSKOGEE MEDICAL CARE PLLC

Practice address

2900 N Main St
Muskogee, OK 74401-4078

Phone

(918) 492-6333

Fax

(918) 493-9405

NPI assigned

Apr 18, 2011

Last updated

Jun 6, 2011By 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

Azhar Shakeel, M.D.NPI 1114124674

Title

Physician/Owner

Phone

(918) 492-6333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 6

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.

• Azhar Shakeel, M.D

  • Family Medicine Physician
  • Henryetta, OK
  • NPI 1114124674
  Medicare reassignment Authorized official
• Susan Elaine Brandt, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1003450628
  Medicare reassignment NPD
• Jessica Rae Henry, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Okemah, OK
  • NPI 1427525880
  Medicare reassignment NPD
• Kristie Mae Powell, APRN

  • Family Nurse Practitioner
  • Okmulgee, OK
  • NPI 1467860585
  Medicare reassignment NPD
• Tyler Woods

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1013491141
  Medicare reassignment NPD
• Quinton Ty Bohannon, P.A.-C

  • Medical Physician Assistant
  • Coalgate, OK
  • NPI 1003154725
  Medicare reassignment

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1629368105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26168",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260168",
            "telephone_number": "918-492-6333",
            "fax_number": "918-493-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014078",
            "telephone_number": "918-492-6333",
            "fax_number": "918-493-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "SHAKEEL",
        "authorized_official_first_name": "AZHAR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "918-492-6333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muskogee Health Services LLC
• Muskogee Heart Center, Inc.
• Muskogee Immediate Care Inc
• Muskogee Medical & Surgical Associates LLC
• Muskogee Medical and Surgical Associates, LLC
• Muskogee Medical Group PLLC (Muskogee Surgical Group)
• Muskogee Medical Group, LLC
• Muskogee Medical Inc
• Muskogee Pediatric Dental PLLC
• Muskogee Pediatrics and Family Health Solutions, LLC (Muskogee Pediatrics and Family Health Solutions)

• Family Medicine Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.