Organization Active NPI

Irvin Medical Clinic PLLC

  • Family Medicine Physician
  • Hugo, OK
National Provider Identifier
1649453689
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3636 Issued in OK
Legal business name
IRVIN MEDICAL CLINIC PLLC
Practice address
1001 E Jackson St
Hugo, OK 74743-4225
Phone
(580) 317-9000
Fax
(580) 317-9024
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Mr. Michael J Irvin, D.O.NPI 1699702712
Title
Owner
Phone
(580) 317-9000

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3636 OK Primary

Addresses

Primary practice location

1001 E Jackson St
Hugo, OK 74743-4225

Mailing address

1001 E Jackson St
Hugo, OK 74743-4225
Phone (580) 317-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080711000337 OK Part B Supplier - Clinic/Group Practice 9133291859 Receives reassigned benefits from 2 practitioners
Practice locations: Hugo, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1649453689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434225",
            "telephone_number": "580-317-9000",
            "fax_number": "580-317-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434225",
            "telephone_number": "580-317-9000",
            "fax_number": "580-317-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVIN MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-317-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.