Sunnylane Family Medical Clinic Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1522 Issued in OK

Legal business name

SUNNYLANE FAMILY MEDICAL CLINIC INC.

Practice address

3916 S Sunnylane Rd
3916 Sunnylane Rd.
Del City, OK 73115-3656

Phone

(405) 677-3378

Fax

(405) 677-3950

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Thomas J Carlile, D.O.

Title

Dr.

Phone

(405) 677-3378

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1700989472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 S SUNNYLANE RD",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153656",
            "telephone_number": "405-677-3378",
            "fax_number": "405-677-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 S SUNNYLANE RD",
            "address_2": "3916 SUNNYLANE RD.",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153656",
            "telephone_number": "405-677-3378",
            "fax_number": "405-677-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYLANE FAMILY MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CARLILE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "405-677-3378",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Latrice Starr
• Shawna Pauline Stephens
• Charissa Ann Stevenson, MASSAGE THERAPISTS
• Clarissa S. Stevenson, M.ED.
• Kendra Stormo
• Sunnylane Medical Clinic LLC
• Courtney Leigh Swartz, DO
• Rayvon M Swindall Sr.
• Jeannie Rose Tallbear, APRN-CNP, PMHNP-BC
• Abigail Taylor, DPT

• Family Medicine Physician in Del City, OK
• Providers in Del City, 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 Jun 21, 2018; 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.