Active NPI
Seminole Medical Clinic
- Primary Care Clinic/Center
- Seminole, OK
National Provider Identifier
1750386223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SEMINOLE MEDICAL CLINIC
- Practice address
- 2403 W Wrangler Blvd
Ste a
Seminole, OK 74868-1900 - Phone
- (405) 382-4939
- Fax
- (405) 382-4947
- NPI assigned
- Jun 20, 2005
- Last updated
- Jun 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tricia Lee Butner, ARNP
- Title
- Partner
- Phone
- (405) 382-4939
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
2403 W Wrangler Blvd
Ste a
Seminole, OK 74868-1900
Mailing address
2403 W Wrangler Blvd
Ste a
Seminole, OK 74868-1900
Phone (405) 382-4939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100748760A | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Seminole, OK
- NPI 1760487243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402617600000",
"number": "1750386223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 W WRANGLER BLVD",
"address_2": "STE A",
"city": "SEMINOLE",
"state": "OK",
"postal_code": "748681900",
"telephone_number": "405-382-4939",
"fax_number": "405-382-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 W WRANGLER BLVD",
"address_2": "STE A",
"city": "SEMINOLE",
"state": "OK",
"postal_code": "748681900",
"telephone_number": "405-382-4939",
"fax_number": "405-382-4947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEMINOLE MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-20",
"last_updated": "2014-06-13",
"status": "A",
"authorized_official_last_name": "BUTNER",
"authorized_official_first_name": "TRICIA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "405-382-4939",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100748760A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, OK
- Seminole Hma LLC
- Seminole Hma LLC (AllianceHealth Seminole Clinic)
- Seminole Hma, LLC (AllianceHealth Seminole)
- Seminole Hma, LLC (AllianceHealth Seminole)
- Seminole HMPN, LLC
- Seminole Nursing Home Inc (Seminole Pioneer Nursing Home)
- Seminole Public Schools
- Seminole Vision Care Inc
- Shawnee Medical Center Clinic, Inc. (SSM Health Medical Group Seminole)
- Signature Home Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.