NPIMap

Organization Active NPI

Summit Medical Center Physicians Two, LLC

Doing business as Summit Family Care Center of West Hefner

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1770985335
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUMMIT MEDICAL CENTER PHYSICIANS TWO, LLC
Doing business as
Summit Family Care Center of West Hefner
Practice address
7221 W Hefner Rd
Oklahoma City, OK 73162-4505
Phone
(405) 359-2400
NPI assigned
Sep 25, 2014
Last updated
Sep 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Authorized official

Name
Mr. Waddah Nassar, MDNPI 1144252909
Title
Owner
Phone
(405) 470-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7221 W Hefner Rd
Oklahoma City, OK 73162-4505

Mailing address

PO Box 258831
Oklahoma City, OK 73125-8831
Phone (405) 470-6900

Other names 1

  • SUMMIT FAMILY CARE CENTER OF WEST HEFNER Doing business as

National Provider Directory

National Provider Directory
Part of
Summit Medical Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1770985335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258831",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731258831",
            "telephone_number": "405-470-6900",
            "fax_number": "405-470-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624505",
            "telephone_number": "405-359-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL CENTER PHYSICIANS TWO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT MEDICAL CENTER, LLC",
        "enumeration_date": "2014-09-25",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "WADDAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-470-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMIT FAMILY CARE CENTER OF WEST HEFNER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 21, 2017; 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.