Edmond Am Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N/A Issued in OK

Legal business name

EDMOND AM CLINIC LLC

Practice address

1714 S Kelly Ave
Edmond, OK 73013-3624

Phone

(405) 216-3993

Fax

(405) 216-3992

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Bill J Buffington, M.D.

Title

Medical Director

Phone

(405) 216-3993

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edmond AM Clinic Doing business as

Practitioners 1

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

• Valerie Ann Stockton, P.A.

  • Physician Assistant
  • Edmond, OK
  • NPI 1811995947
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1760655773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269083",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269083",
            "telephone_number": "405-216-3993",
            "fax_number": "405-216-3992"
        },
        {
            "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": "405-216-3993",
            "fax_number": "405-216-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND AM CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "BUFFINGTON",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-216-3993",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200134140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edmond AM Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Lynn Eddins
• Diana Edds, LMFT
• James Eddy II, PT, DPT
• Roland Marcus Edge
• Kimberly Edgmon, M.D.
• Edmond Ankle & Foot Specialists Inc
• Edmond Associaiton of Retarded Citizens, Inc.
• Edmond Associaiton of Retarded Citizens, Inc.
• Edmond Association of Retarded Citizens, Inc.
• Edmond Association of Retarded Citizens, Inc.

• Family Medicine Physician in Edmond, OK
• Providers in Edmond, 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 Oct 21, 2011; 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.