Claremore Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLAREMORE INTERNAL MEDICINE, LLC

Practice address

1501 N Florence
Suite 201
Claremore, OK 74017

Phone

(918) 341-1886

Fax

(918) 343-1727

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Dianne Owens

Title

Office Manager

Phone

(918) 341-1886

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Breece Michael Eberley, M.D.

  • Internal Medicine Physician
  • Owasso, OK
  • NPI 1689626376
  NPD (past)
• Glen Dewayne Hyde, MD

  • Internal Medicine Physician
  • Yukon, OK
  • NPI 1912907056
  NPD (past)
• Stephen Carlos Medina, MD

  • Gastroenterology Physician
  • Claremore, OK
  • NPI 1235182650
  NPD (past)
• Dennis Earl Mourning, MD

  • Internal Medicine Physician
  • Claremore, OK
  • NPI 1487606174
  NPD (past)
• William Ogg Smith Jr., MD

  • Internal Medicine Physician
  • Claremore, OK
  • NPI 1982656617
  NPD (past)
• Debra Ann Cherry-Lederman, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1912942186
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659314011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE",
            "address_2": "SUITE 201",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74017",
            "telephone_number": "918-341-1886",
            "fax_number": "918-343-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE",
            "address_2": "SUITE 201",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74017",
            "telephone_number": "918-341-1886",
            "fax_number": "918-343-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREMORE INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-341-1886"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claremore Indian Hospital
• Claremore Indian Hospital
• Claremore Indian Hospital
• Claremore Indian Hospital
• Claremore Indian Hospital
• Claremore Nursing Home, Inc
• Claremore Operations, LLC
• Claremore Physicians LLC
• Claremore Podiatry, P.C.
• Claremore Primary Eyecare

• Internal Medicine Physician in Claremore, OK
• Providers in Claremore, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.