Cohesive Medical Clinic Carnegie

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COHESIVE MEDICAL CLINIC CARNEGIE

Practice address

101 Ash St
Carnegie, OK 73015

Phone

(580) 654-1154

NPI assigned

Jun 8, 2018

Last updated

Jun 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamal Bandeh

Title

Director of Strategic Iniatiatives

Phone

(918) 269-1722

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1790278406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ASH ST",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "73015",
            "telephone_number": "580-654-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ASH ST",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "73015",
            "telephone_number": "580-654-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHESIVE MEDICAL CLINIC CARNEGIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "BANDEH",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "DIRECTOR OF STRATEGIC INIATIATIVES",
        "authorized_official_telephone_number": "918-269-1722"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carnegie Tri-County Municipal Hospital Management, Inc. (Carnegie Tri-County Municipal Hospital)
• Carnegie Tri-County Municipal Hospital Management, Inc. (Carnegie Tri-County Municipal Hospital)
• Carnegie Tri-County Municipal Hospital Management, Inc.
• Carneigie Indian Health Clinic (Carnegie Indian Health Clinic Pharmacy)
• CL Therapy Inc.
• Comanche County Healthcare Corp (Memorial Medical Group Carnegie Family Medical Clinic)
• Laura Shannon Gilmore, MD
• Rosanna Diane Gomez
• Troy L Harden, DO
• Richard Satianty Harris, D.O.

• Family Medicine Physician in Carnegie, OK
• Providers in Carnegie, 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 Jun 8, 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.