Muskogee Regional Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MUSKOGEE REGIONAL MEDICAL CENTER

Doing business as

Muskogee Immediate Care

Practice address

3520 Chandler Rd.
Muskogee, OK 74403-4910

Phone

(918) 682-0721

Fax

(918) 683-3265

NPI assigned

May 9, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel S. Slipkovich

Title

Ceo

Phone

(615) 764-3000

Specialties & licenses 1

Addresses

Other names 1

• Muskogee Immediate Care Doing business as

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1700090040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CORPORATE CENTRE DR.",
            "address_2": "STE. 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-764-3000",
            "fax_number": "615-764-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 CHANDLER RD.",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034910",
            "telephone_number": "918-682-0721",
            "fax_number": "918-683-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "SLIPKOVICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-764-3000"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muskogee Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muskogee Physicians Group LLC
• Muskogee Public Schools
• Muskogee Pulmonary Clinic Inc
• Muskogee Region Medical Center
• Muskogee Regional Eye Clinic Inc (Soper Eye Center)
• Muskogee Regional Medical Center LLC (Muskogee Regional Medical Center Rehabilitation Unit)
• Muskogee Regional Medical Center LLC (Eastar Health System Main Campus)
• Muskogee Regional Medical Center LLC (Muskogee Reg Med Ctr Home Health Ser)
• Muskogee Regional Medical Center LLC (Muskogee Regional Medical Center Psychiatric Unit)
• Muskogee Rehabilitation and Sports Medicine, Inc

• General Practice Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.