NPIMap

Organization Active NPI

Primary Care Associates of Norman

Doing business as Primary Care Associats of Norman

  • Family Medicine Physician
  • Norman, OK
National Provider Identifier
1699978593
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3578 Issued in OK
Legal business name
PRIMARY CARE ASSOCIATES OF NORMAN
Doing business as
Primary Care Associats of Norman
Practice address
1125 North Porter
Suite 202
Norman, OK 73071
Phone
(405) 928-2050
Fax
(405) 928-2054
NPI assigned
Jun 7, 2007
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Jayson D Henry, D.O.NPI 1053393827
Title
Co Owner
Phone
(405) 928-2050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 3578 OK Primary

Addresses

Primary practice location

1125 North Porter
Suite 202
Norman, OK 73071

Mailing address

1125 North Porter
Suite 202
Norman, OK 73071
Phone (405) 928-2050

Other identifiers 1

IdentifierTypeStateIssuer
100252400BMedicaidOK

Other names 1

  • PRIMARY CARE ASSOCIATS OF NORMAN Doing business as

National Provider Directory

National Provider Directory

Locations

1125 N Porter Ave
Norman, OK 73071
Phone (405) 360-2777

1125 N Porter Ave
Ste 202
Norman, OK 73071
Phone (405) 515-1800

500 E Robinson St
Ste 2200
Norman, OK 73071
Phone (405) 364-7725

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1699978593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NORTH PORTER",
            "address_2": "SUITE 202",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73071",
            "telephone_number": "405-928-2050",
            "fax_number": "405-928-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NORTH PORTER",
            "address_2": "SUITE 202",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73071",
            "telephone_number": "405-928-2050",
            "fax_number": "405-928-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF NORMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "405-928-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252400B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY CARE ASSOCIATS OF NORMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.