Physiciancare P M LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHYSICIANCARE P M LLC

Practice address

1714 S Kelly Ave
Edmond, OK 73013-3624

Phone

(405) 285-7500

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Robert Petric

Title

Administrator

Phone

(405) 285-7500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey L. Watts, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1912981499
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1740359520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133624",
            "telephone_number": "405-285-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANCARE P M LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "PETRIC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-285-7500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PHP Ok PC
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• Phyllis Vanhemert, M.Ed., Inc.
• Physical Solutions Edmond, PLLC
• Physician'S Acupuncture, LLC
• Physicians Physical Therapy Service, Inc.
• Laura A Piatt, M.A., LPC
• Isabella Pica, RBT
• Stephanie Deter Pickett, M.D.
• Teresa Annette Pickett

• Internal Medicine Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.