Muskogee Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MUSKOGEE FAMILY MEDICINE, LLC

Practice address

3330 W Okmulgee St
Muskogee, OK 74401-5069

Phone

(918) 682-4318

Fax

(918) 682-0615

NPI assigned

Aug 22, 2006

Last updated

Sep 7, 2017By 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

Mrs. Judy C. Oliver, RN

Title

Clinic Manager

Phone

(918) 682-4318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDHDDD

Practitioners 5

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.

• Jason D. Dansby, MD

  • Family Medicine Physician
  • Muskogee, OK
  • NPI 1437151578
  Medicare reassignment Care Compare group NPD
• Brad A. McIntosh, MD

  • Family Medicine Physician
  • Muskogee, OK
  • NPI 1659373819
  Medicare reassignment Care Compare group NPD
• Justin Roberts, NP-C

  • Gerontology Nurse Practitioner
  • Muskogee, OK
  • NPI 1962953158
  Medicare reassignment Care Compare group NPD
• Evan D. Cole, DO

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710989900
  Medicare reassignment NPD
• Monica Rae Greer, APRN-CNP

  • Family Nurse Practitioner
  • Pryor, OK
  • NPI 1760153753
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1790891505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015069",
            "telephone_number": "918-682-4318",
            "fax_number": "918-682-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015069",
            "telephone_number": "918-682-4318",
            "fax_number": "918-682-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "918-682-4318",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muskogee Dental Group, Inc.
• Muskogee Diagnostic Imaging
• Muskogee Dialysis LLC (Muskogee Community Dialysis Center)
• Muskogee Digestive Center Inc
• Muskogee Family Care LLC
• Muskogee Family Practice
• Muskogee Foot Clinic Inc.
• Muskogee Health Services LLC
• Muskogee Heart Center, Inc.
• Muskogee Immediate Care Inc

• Family Medicine Physician in Muskogee, OK
• Providers in Muskogee, 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 Sep 7, 2017; 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.