NPIMap

Organization Active NPI

Medical Specialists Inc

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1669579389
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL SPECIALISTS INC
Practice address
5401 N Portland
Suite 220
Oklahoma City, OK 73112-2082
Phone
(405) 604-4321
Fax
(405) 604-4331
NPI assigned
Sep 17, 2006
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Dr. Alan Stuart Bock, MDNPI 1013025923
Title
President
Phone
(405) 604-4321

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5401 N Portland
Suite 220
Oklahoma City, OK 73112-2082

Mailing address

5401 N Portland
Suite 220
Oklahoma City, OK 73112-2082
Phone (405) 604-4321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041222000006 OK Part B Supplier - Clinic/Group Practice 3971561952 Receives reassigned benefits from 5 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

5401 N Portland Ave
Ste 200
Oklahoma City, OK 73112

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1669579389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND",
            "address_2": "SUITE 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122082",
            "telephone_number": "405-604-4321",
            "fax_number": "405-604-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND",
            "address_2": "SUITE 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122082",
            "telephone_number": "405-604-4321",
            "fax_number": "405-604-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-604-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.