Organization Active NPI

Payne County Family Practice, Inc.

  • Case Management Agency
  • Stillwater, OK
National Provider Identifier
1710184882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PAYNE COUNTY FAMILY PRACTICE, INC.
Practice address
2216 W 12TH Ave
Stillwater, OK 74074-5127
Phone
(405) 377-3766
Fax
(405) 377-3768
NPI assigned
Jun 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marina Pepper
Title
Director
Phone
(405) 377-3766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

2216 W 12TH Ave
Stillwater, OK 74074-5127

Mailing address

2216 W 12TH Ave
Stillwater, OK 74074-5127
Phone (405) 377-3766

Other names 1

  • divorce visitation arbitration Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710184882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 W 12TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745127",
            "telephone_number": "405-377-3766",
            "fax_number": "405-377-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 W 12TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745127",
            "telephone_number": "405-377-3766",
            "fax_number": "405-377-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE COUNTY FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-377-3766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "divorce visitation arbitration",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.