McClain Emergency Group, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MCCLAIN EMERGENCY GROUP, LLC

Practice address

1500 N Green Ave
Purcell, OK 73080-1642

Phone

(800) 893-9698

NPI assigned

Sep 10, 2015

Last updated

Nov 3, 2015By 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

Ryan Domengeaux

Title

General Council

Phone

(800) 893-9698

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1649648478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N GREEN AVE",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730801642",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLAIN EMERGENCY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "DOMENGEAUX",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "GENERAL COUNCIL",
        "authorized_official_telephone_number": "800-893-9698"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Reane Mathias
• Michelle Mauney, LCSW
• Cynthia Inez Maynard, LMFT
• Brian G. Maynor, M.ED., LPC
• Carol Jean McCarty, PA
• McClain-Garvin County Youth & Family Center
• Alesa Deon McPhail, MS CCC SLP
• Amanda Taralee McReynolds
• Jayna S McWethy, MS, LPC
• Glenn Arthur Mead, DDS

• Emergency Medicine Physician in Purcell, OK
• Providers in Purcell, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.