Organization Active NPI

Oca II Edmond, LLC

Doing business as Access Medical Center

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1760494884
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3453 Issued in OK
Legal business name
OCA II EDMOND, LLC
Doing business as
Access Medical Center
Practice address
46 E 15TH St
Edmond, OK 73013-4301
Phone
(405) 844-5210
Fax
(405) 341-7074
NPI assigned
Aug 13, 2006
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Bruce D Cornett, DO
Title
Managing Partner
Phone
(405) 844-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3453 OK Primary

Addresses

Primary practice location

46 E 15TH St
Edmond, OK 73013-4301

Mailing address

46 E 15TH St
Edmond, OK 73013-4301
Phone (405) 844-5210

Other names 1

  • Access Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

46 E 15th St
Edmond, OK 73013
Phone (405) 691-7201

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1760494884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 E 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134301",
            "telephone_number": "405-844-5210",
            "fax_number": "405-341-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134301",
            "telephone_number": "405-844-5210",
            "fax_number": "405-341-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCA II EDMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "CORNETT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "405-844-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.