Muskogee Allergy Clinic

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

3158 Issued in OK

Legal business name

MUSKOGEE ALLERGY CLINIC

Practice address

3316 West Okmulgee Street
Muskogee, OK 74401

Phone

(918) 682-1425

Fax

(918) 682-0615

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Evan Dean Cole, DONPI 1710989900

Title

Managing Physician

Phone

(019) 682-1425

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Evan D. Cole, DO

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710989900
  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801926647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 WEST OKMULGEE STREET",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-682-1425",
            "fax_number": "918-682-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 WEST OKMULGEE STREET",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-682-1425",
            "fax_number": "918-682-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE ALLERGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "019-682-1425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "OK",
            "license": "3158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan T Mundy, M.D.
• Valerie Rainbow Munhollon
• Melody Jean Murphy
• Tracy Murphy
• Christy Murry
• Muskogee Assoc. for the Rights of Citizens W/Developmental Disabled
• Muskogee Assoc. for the Rights of Citizens W/Developmental Disabled
• Muskogee Bone & Joint & Sports Medicine
• Muskogee Cancer Clinic Inc PC
• Muskogee Chiropractic Hand & Foot Clinic, LLC (Muskogee Chiropractic Hand & Foot Clinic)

• Allergy Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Allergy Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.