NPIMap

Organization Active NPI

Total Wellness

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1841616828
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOTAL WELLNESS
Practice address
5500 N Western Ave
Suite 212
Oklahoma City, OK 73118-4019
Phone
(405) 810-8677
Fax
(405) 810-8682
NPI assigned
Mar 13, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Mr. Mike P Okeefe
Title
Co-Owner
Phone
(405) 810-8677

Specialties & licenses 1

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

Addresses

Primary practice location

5500 N Western Ave
Suite 212
Oklahoma City, OK 73118-4019

Mailing address

5500 N Western Avenue
Suite 212
Oklahoma City, OK 73118-4012
Phone (405) 810-8677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141211000343 OK Part B Supplier - Clinic/Group Practice 4587986005 Receives reassigned benefits from 15 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

5500 N Western Ave
Ste 212
Oklahoma City, OK 73118
Phone (405) 810-8677

7017 N Robinson Ave
Oklahoma City, OK 73116
Phone (405) 658-3130

6526 E 60th St
Tulsa, OK 74145
Phone (405) 658-3130

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1841616828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 N WESTERN AVENUE",
            "address_2": "SUITE 212",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184012",
            "telephone_number": "405-810-8677",
            "fax_number": "405-810-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N WESTERN AVE",
            "address_2": "SUITE 212",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184019",
            "telephone_number": "405-810-8677",
            "fax_number": "405-810-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "OKEEFE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-810-8677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.