NPIMap

Organization Active NPI

Integris Rural Health, Inc.

Doing business as Family Physicians of the Plains

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1710113121
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19950 Issued in OK
Legal business name
INTEGRIS RURAL HEALTH, INC.
Doing business as
Family Physicians of the Plains
Practice address
915 E Garriott Rd
Suite G
Enid, OK 73701-6156
Phone
(580) 242-5100
Fax
(580) 242-2700
NPI assigned
Jun 1, 2009
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Jeff M Brown
Title
VP Integris Rural Phy Pract MGMT
Phone
(580) 548-1367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19950 OK Primary

Addresses

Primary practice location

915 E Garriott Rd
Suite G
Enid, OK 73701-6156

Mailing address

PO Box 960379
Oklahoma City, OK 73196-0379
Phone (580) 548-1367

Other identifiers 2

IdentifierTypeStateIssuer
200219500BMedicaidOK
200119080RMedicaidOK

Other names 1

  • Family Physicians of the Plains Doing business as

National Provider Directory

National Provider Directory

Locations

915 E Owen K Garriott Rd
Ste G
Enid, OK 73701
Phone (580) 242-1090

Practitioners & affiliated clinicians

Practitioners 8

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": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1710113121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960379",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960379",
            "telephone_number": "580-548-1367",
            "fax_number": "580-548-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E GARRIOTT RD",
            "address_2": "SUITE G",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-242-5100",
            "fax_number": "580-242-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS RURAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP INTEGRIS RURAL PHY PRACT MGMT",
        "authorized_official_telephone_number": "580-548-1367"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "19950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200219500B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200119080R",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Physicians of the Plains",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.