Active NPI
Proactive MD Ok, LLC
- Primary Care Clinic/Center
- Claremore, OK
National Provider Identifier
1649943176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PROACTIVE MD OK, LLC
- Practice address
- 6606 E 540 Rd
Claremore, OK 74019-2534 - Phone
- (918) 965-0220
- NPI assigned
- Jul 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Allen Kemble, MD
- Title
- Chief Medical Officer
- Phone
- (864) 640-8355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
6606 E 540 Rd
Claremore, OK 74019-2534
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Phone (864) 640-8355
Other names 1
- CFI Verdigris Health Center
National Provider Directory
National Provider Directory- Tax ID family
- Cfi Verdigris Health Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Woodward, OK
- NPI 1558034082
-
- Primary Care Clinic/Center
- Greenville, SC
- NPI 1912670449
Locations
6606 E 540 Rd
Claremore, OK 74019
Phone (918) 965-0220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1649943176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 VILLA RD STE 100",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153052",
"telephone_number": "864-640-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 E 540 RD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740192534",
"telephone_number": "918-965-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE MD OK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-30",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "KEMBLE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "864-640-8355",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CFI Verdigris Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.