Perry Wellness Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23862 Issued in OK

Legal business name

PERRY WELLNESS CENTER PLLC

Doing business as

Perry Wellnes Center

Practice address

501 N 14TH St
Attn: J. Ek
Perry, OK 73077-5021

Phone

(580) 336-3735

Fax

(580) 336-3738

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonthan Radkoff Ek, MD

Title

Ownerphysician

Phone

(580) 336-3735

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perry Wellnes Center Doing business as

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1750482741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 14TH ST",
            "address_2": "ATTN: J. EK",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775021",
            "telephone_number": "580-336-3735",
            "fax_number": "580-336-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 14TH ST",
            "address_2": "ATTN: J. EK",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775021",
            "telephone_number": "580-336-3735",
            "fax_number": "580-336-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "EK",
        "authorized_official_first_name": "JONTHAN",
        "authorized_official_middle_name": "RADKOFF",
        "authorized_official_title_or_position": "OWNERPHYSICIAN",
        "authorized_official_telephone_number": "580-336-3735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "32819",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Wellnes Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perry Memorial Hospital Authority
• Perry Memorial Hospital Authority
• Perry Memorial Hospital Authority
• Perry School District
• Perry Smiles
• PFD PLLC
• Maegan Phillips
• Physician'S Medical Clinic
• Chelsea Redman
• Heath Rice

• Family Medicine Physician in Perry, OK
• Providers in Perry, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.