Thomas Family Care,LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA 467 Issued in OK

Legal business name

THOMAS FAMILY CARE,LLC

Practice address

1928 S 4TH St
Chickasha, OK 73018-5903

Phone

(405) 224-7755

Fax

(405) 224-7748

NPI assigned

Mar 14, 2008

Last updated

Oct 9, 2008By 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

Betti L Wymer, PA-C

Title

Co-Owner

Phone

(405) 224-7755

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1639340847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 S 4TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185903",
            "telephone_number": "405-224-7755",
            "fax_number": "405-224-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 S 4TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185903",
            "telephone_number": "405-224-7755",
            "fax_number": "405-224-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "WYMER",
        "authorized_official_first_name": "BETTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-224-7755",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "PA 467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1578725636",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200131240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Ark Mental Health Trauma Center (None Provided)
• The Lighthouse Guidance Center LLC
• The Shine Pediatric Therapy Center (Shine Pediatric Therapy Center)
• Therapies United
• Thomas Family Care LLC
• Alexandria P Thompson, APRN, FNP-C
• Lucas Cale Toho, M.D.
• Jennifer Laila Tolman, CD(DONA)
• Totaldose Chickasha LLC (Grand Care Pharmacy - LTC)
• Totaldose Chickasha LLC (Grand Care Pharmacy)

• Family Medicine Physician in Chickasha, OK
• Providers in Chickasha, 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 Oct 9, 2008; 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.