Owasso Family Medicine, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OWASSO FAMILY MEDICINE, PLLC

Practice address

13720 E 86TH St N Ste 100
Owasso, OK 74055-8704

Phone

(918) 212-6332

NPI assigned

Apr 10, 2012

Last updated

Apr 10, 2012By 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

Dr. Paul Pisarik, M.D.

Title

Owner

Phone

(918) 212-6332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1801152335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 GREENBRIER DR",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 E 86TH ST N STE 100",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558704",
            "telephone_number": "918-212-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWASSO FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "PISARIK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-212-6332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owasso Counseling Services,PLLC
• Owasso Dialysis LLC (Owasso Dialysis)
• Owasso Drug Company LLC (Owasso Drug)
• Owasso Eye Institute Inc
• Owasso Family Denistry
• Owasso Medical Facility LLC (St John Owasso)
• Owasso Medical Facility LLC
• Owasso Medical Facility, Inc (St. John Owasso)
• Owasso Nursing Center, Inc. (Sequoyah Pointe Living Center)
• Owasso Orthodontics

• Primary Care Clinic/Center in Owasso, OK
• Providers in Owasso, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.