NPIMap

Organization Active NPI

Garvin County Occupational & Family Medicine LLC

  • Primary Care Clinic/Center
  • Wynnewood, OK
National Provider Identifier
1851736029
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
14651 Issued in OK
Legal business name
GARVIN COUNTY OCCUPATIONAL & FAMILY MEDICINE LLC
Practice address
1202 E Robert S Kerr Blvd
Wynnewood, OK 73098-2054
Phone
(405) 665-2424
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Charles Kim Jones, MDNPI 1134189798
Title
Partner
Phone
(405) 665-2424

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
Primary Care Clinic/Center 261QP2300X 14651 OK Primary

Addresses

Primary practice location

1202 E Robert S Kerr Blvd
Wynnewood, OK 73098-2054

Mailing address

1202 E Robert S Kerr Blvd
Wynnewood, OK 73098-2054
Phone (405) 665-2424

National Provider Directory

National Provider Directory

Locations

1202 E Robert S Kerr Blvd
Wynnewood, OK 73098
Phone (405) 665-2424

1202 E Robert S Kerr Blvd
Wynnewood, OK 73098
Phone (405) 665-2424

Practitioners & affiliated clinicians

Practitioners 2

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": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1851736029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E ROBERT S KERR BLVD",
            "city": "WYNNEWOOD",
            "state": "OK",
            "postal_code": "730982054",
            "telephone_number": "405-665-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E ROBERT S KERR BLVD",
            "city": "WYNNEWOOD",
            "state": "OK",
            "postal_code": "730982054",
            "telephone_number": "405-665-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVIN COUNTY OCCUPATIONAL & FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "405-665-2424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "14651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.