Yukon Public

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

251K00000X Issued in OK

Legal business name

YUKON PUBLIC

Practice address

600 Maple St
Yukon, OK 73099-2533

Phone

(405) 350-1341

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kent Mathers

Title

Superintendent

Phone

(405) 350-1341

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750410379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAPLE ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992533",
            "telephone_number": "405-350-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAPLE ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992533",
            "telephone_number": "405-350-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKON PUBLIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHERS",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "405-350-1341",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "251K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yukon Dentistry & Braces
• Yukon Maxillo-Facial Surgery Center
• Yukon Medical Imaging LLC
• Yukon Pediatrics Behavioral Health L.L.C.
• Yukon Pharmacy Inc (West Pointe Pharmacy)
• Yukon RX Inc. (Miller Drug)
• Yukon Wound Care and Home Health LLC
• Yukon Wound Care and Rehabilitation PLLC
• Giselle Zagari Stuppiello, MD
• Armin Zarkeshan, DD

• Speech-Language Pathologist in Yukon, OK
• Providers in Yukon, OK by specialty
• Speech-Language Pathologist in Oklahoma

• 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.