Organization Active NPI

Prevent Clinic LLC

  • Electrodiagnostic Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1770927790
Registry record updated Apr 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
PREVENT CLINIC LLC
Practice address
4500 N Classen Blvd
Suite 203
Oklahoma City, OK 73118-4834
Phone
(405) 601-8102
Fax
(806) 209-0000
NPI assigned
Apr 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2013

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

Authorized official

Name
John Murgai
Title
Owner / President
Phone
(806) 239-6862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204R00000X Primary

Addresses

Primary practice location

4500 N Classen Blvd
Suite 203
Oklahoma City, OK 73118-4834

Mailing address

2410 W Memorial Rd
Ste C #156
Oklahoma City, OK 73134-8047
Phone (806) 239-6862

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366502400000",
    "number": "1770927790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 W MEMORIAL RD",
            "address_2": "STE C #156",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348047",
            "telephone_number": "806-239-6862",
            "fax_number": "806-209-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N CLASSEN BLVD",
            "address_2": "SUITE 203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184834",
            "telephone_number": "405-601-8102",
            "fax_number": "806-209-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-21",
        "last_updated": "2013-04-21",
        "status": "A",
        "authorized_official_last_name": "MURGAI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "806-239-6862"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2013; 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.