General Practice Medical Clinic, Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

OK1843 Issued in OK

Legal business name

GENERAL PRACTICE MEDICAL CLINIC, INC.

Practice address

1012 South Plaza
Tahlequah, OK 74464

Phone

(918) 207-1400

Fax

(918) 207-1401

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Neal Daniel, D.O.

Title

Owner

Phone

(918) 207-1400

Specialties & licenses 1

Addresses

Other names 1

• Sleep Technology of ORS Doing business as

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1740330596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 S YALE AVE",
            "address_2": "SUITE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363302",
            "telephone_number": "918-207-1400",
            "fax_number": "918-207-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SOUTH PLAZA",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-207-1400",
            "fax_number": "918-207-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL PRACTICE MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-207-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "OK",
            "license": "OK1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Technology of ORS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyler Chase Gastineau, DO
• Gary Lynn Gaston, M.D.
• Michael William Gaydos, O.D.
• John Alfred Geasland, D.D.S.
• Tori Geasland
• George S. Cohlmia
• Erin M. George
• Samantha Giang, O.D.
• Lorna Lorraine Gibbs, COTA/L
• Michael Gilchrist

• Sleep Disorder Diagnostic Clinic/Center in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Sleep Disorder Diagnostic Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.