NPIMap

Organization Active NPI

Mednow Primary Care Center LLC

  • Family Medicine Physician
  • Catoosa, OK
National Provider Identifier
1770055600
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDNOW PRIMARY CARE CENTER LLC
Practice address
2036 S Miller LN
Catoosa, OK 74015-1520
Phone
(918) 739-4552
Fax
(918) 739-4529
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Connie Clampitt
Title
Billing Director
Phone
(918) 286-3730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2036 S Miller LN
Catoosa, OK 74015-1520

Mailing address

PO Box 3940
Broken Arrow, OK 74013-3940
Phone (918) 286-3730

National Provider Directory

National Provider Directory
Tax ID family
Mednow Primary Care Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1770055600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3940",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740133940",
            "telephone_number": "918-286-3730",
            "fax_number": "918-893-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 S MILLER LN",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740151520",
            "telephone_number": "918-739-4552",
            "fax_number": "918-739-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNOW PRIMARY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "CLAMPITT",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "918-286-3730"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catoosa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.