Active NPI
PHP Ok PC
Doing business as Primary Health Partbners
- Family Medicine Physician
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHP OK PC
- Doing business as
- Primary Health Partbners
- Practice address
- 2050 W Kenosha St
Broken Arrow, OK 74012-8946 - Phone
- (918) 882-0440
- Fax
- (918) 882-0441
- NPI assigned
- Mar 15, 2024
- Last updated
- Mar 15, 2024
- Organization subpart
- Yes
- Parent organization
- PHP OK PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angie McKinney
- Title
- Operations Manager
- Phone
- (405) 577-6571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2050 W Kenosha St
Broken Arrow, OK 74012-8946
Mailing address
1820 Commons Cir Ste B
Yukon, OK 73099-9518
Phone (405) 265-2778
Other names 1
- Primary Health Partbners
National Provider Directory
National Provider Directory- Tax ID family
- PHP Ok PC
- Part of
- PHP Ok PC
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2050 W Kenosha St
Broken Arrow, OK 74012
Phone (918) 882-0440
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.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Broken Arrow, OK
- NPI 1659714756
-
- Family Medicine Physician
- Broken Arrow, OK
- NPI 1174966048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1679332464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 COMMONS CIR STE B",
"city": "YUKON",
"state": "OK",
"postal_code": "730999518",
"telephone_number": "405-265-2778",
"fax_number": "405-577-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 W KENOSHA ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128946",
"telephone_number": "918-882-0440",
"fax_number": "918-882-0441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHP OK PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHP OK PC",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "MCKINNEY",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "405-577-6571"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Health Partbners",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.