Organization Active NPI

Ada Outpatient Clinic, Inc.

  • Family Medicine Physician
  • Ada, OK
National Provider Identifier
1801002118
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADA OUTPATIENT CLINIC, INC.
Practice address
2901 Arlington St
Ada, OK 74820-2928
Phone
(580) 332-8900
Fax
(580) 332-9052
NPI assigned
May 15, 2007
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Ms. Cynthia Elaine Yarberry
Title
Office Manager
Phone
(580) 332-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2901 Arlington St
Ada, OK 74820-2928

Mailing address

2901 Arlington St
Ada, OK 74820-2928
Phone (580) 332-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1801002118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202928",
            "telephone_number": "580-332-8900",
            "fax_number": "580-332-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202928",
            "telephone_number": "580-332-8900",
            "fax_number": "580-332-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA OUTPATIENT CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "YARBERRY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-332-8900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.