Stacey D Knapp DO PC Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20-1347913 Issued in OK

Legal business name

STACEY D KNAPP DO PC INC

Practice address

209 S 30TH St
Clinton, OK 73601-3100

Phone

(580) 323-7800

Fax

(580) 323-7803

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Stacey D Knapp, DO

Title

Provider/Owner

Phone

(580) 323-7800

Specialties & licenses 1

Addresses

Other names 1

• Stacey D Knapp DO Doing business as

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1689675688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S 30TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013100",
            "telephone_number": "580-323-7800",
            "fax_number": "580-323-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 30TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013100",
            "telephone_number": "580-323-7800",
            "fax_number": "580-323-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY D KNAPP DO PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "580-323-7800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20-1347913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacey D Knapp DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Clinton, OK
• Providers in Clinton, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.