Organization Active NPI

Summit Medical Center Physicians One, LLC

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1669874228
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUMMIT MEDICAL CENTER PHYSICIANS ONE, LLC
Practice address
7221 W Hefner Rd
Oklahoma City, OK 73162-4505
Phone
(405) 470-6900
Fax
(405) 470-6901
NPI assigned
Sep 25, 2014
Organization subpart
Yes
Parent organization
SUMMIT MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Debra L Rhodes
Title
Clinic Manager
Phone
(405) 470-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X 102310 OK

Addresses

Primary practice location

7221 W Hefner Rd
Oklahoma City, OK 73162-4505

Mailing address

7221 W Hefner Rd
Oklahoma City, OK 73162-4505
Phone (405) 470-6900

National Provider Directory

National Provider Directory
Part of
Summit Medical Center

Locations

7221 W Hefner Rd
Oklahoma City, OK 73162
Phone (405) 470-6900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1669874228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624505",
            "telephone_number": "405-470-6900",
            "fax_number": "405-470-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624505",
            "telephone_number": "405-470-6900",
            "fax_number": "405-470-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL CENTER PHYSICIANS ONE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT MEDICAL CENTER, LLC",
        "enumeration_date": "2014-09-25",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "405-470-6900"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "102310",
            "primary": false
        }
    ],
    "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 Mar 16, 2018; 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.