Thomas Harold Conklin Jr., D.O.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

1552 Issued in OK

Practice address

109 W Main St
Stigler, OK 74462-2325

Phone

(918) 967-2130

Fax

(918) 967-2461

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haskell Regional Hospital, Inc.

  • Rural Health Clinic/Center
  • Heavener, OK
  • NPI 1508511270
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1689655276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744620609",
            "telephone_number": "918-967-2130",
            "fax_number": "918-967-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744622325",
            "telephone_number": "918-967-2130",
            "fax_number": "918-967-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "THOMAS",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "1552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn E Climpson
• Allysha Coble
• Jackson T Cole
• Laycee Collins
• Compassion Home Care, Inc.
• Terry Lynn Conrad
• Haylee Coplen
• Counseling Services of Leflore County
• Audra L Cox
• Brent Lee Cox

• Geriatric Medicine (Family Medicine) Physician in Stigler, OK
• Providers in Stigler, OK by specialty
• Geriatric Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.