LTC Solutions, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2597 Issued in OK

Legal business name

LTC SOLUTIONS, PLLC

Practice address

604 North Main
Gore, OK 74435-0479

Phone

(918) 520-0859

Fax

(918) 489-5260

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

William R Anderson, DONPI 1235130709

Title

Owner

Phone

(918) 520-0859

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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

• William Robert Anderson, DO

  • Family Medicine Physician
  • Gore, OK
  • NPI 1235130709

  Family Medicine, OK

  Medicare reassignment NPD Authorized official
• Misty J Haraway, PA

  • Medical Physician Assistant
  • Checotah, OK
  • NPI 1457331076
  NPD (past)

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1669898607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "GORE",
            "state": "OK",
            "postal_code": "744350479",
            "telephone_number": "918-520-0859",
            "fax_number": "918-489-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 NORTH MAIN",
            "city": "GORE",
            "state": "OK",
            "postal_code": "744350479",
            "telephone_number": "918-520-0859",
            "fax_number": "918-489-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-520-0859",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gore Public Schools
• Haskell Regional Hospital, Inc.
• Lester Keathley, RN
• Brandon King, D.O.
• Jane P Linduff
• Arnie D McGee, D.D.S.
• Samantha McGee
• Shelby Dane Menie, LPN
• Neok Chronic Care
• Noel Stubbs

• All providers in Gore, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.