Three C'S Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3291 Issued in OK

Legal business name

THREE C'S MEDICAL CLINIC INC

Practice address

2526 W Edison St
Tulsa, OK 74127-6128

Phone

(918) 587-5100

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susanne P Thompson, D.O., MPHNPI 1033111547

Title

Ceo

Phone

(918) 587-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

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

• Susanne Patricia Thompson, DO

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1033111547
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780719153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27434",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741490434",
            "telephone_number": "918-587-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 W EDISON ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741276128",
            "telephone_number": "918-587-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE C'S MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-587-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10092790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Thorpe
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• Christy Thrasher
• Chelsea Threadgill
• Thrive Chiropractic Clinic, LLC
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• Rebecca Thrun, D.O.
• Roopa Thukaram, MD
• Sophia Emma Thundu, M.A.

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.