Organization Active NPI

Rebecca Faulkner MD, PLLC

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1801293485
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43765 Issued in OK
Legal business name
REBECCA FAULKNER MD, PLLC
Practice address
15804 Sonador Dr
Edmond, OK 73013-5819
Phone
(405) 601-6181
Fax
(405) 601-7012
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Rebecca Faulkner, M.D.NPI 1154307338
Title
Physician/Owner
Phone
(405) 601-6181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 43765 OK Primary

Addresses

Primary practice location

15804 Sonador Dr
Edmond, OK 73013-5819

Mailing address

15804 Sonador Dr
Edmond, OK 73013-5819
Phone (405) 601-6181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1801293485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15804 SONADOR DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135819",
            "telephone_number": "405-601-6181",
            "fax_number": "405-601-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15804 SONADOR DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135819",
            "telephone_number": "405-601-6181",
            "fax_number": "405-601-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA FAULKNER MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-601-6181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "43765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.