Premier Telemedicine Group PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PREMIER TELEMEDICINE GROUP PLLC

Practice address

1 E Clark Bass Blvd
McAlester, OK 74501-4209

Phone

(918) 426-1800

Fax

(918) 421-8066

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Matthew Jenkins, MD

Title

Manager

Phone

(208) 521-5150

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1851993844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 5TH ST STE 620",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741034441",
            "telephone_number": "918-543-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-426-1800",
            "fax_number": "918-421-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER TELEMEDICINE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-521-5150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hospital",
            "affiliation": "Y",
            "affiliationName": "McAlester Regional Health Center Authority",
            "address_1": "1 E Clark Bass Blvd",
            "city": "McAlester",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745014209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Jo Pope, MSHR, LPC, LADC, CM
• Whitney Elaine Pope
• Thaxal Creed Potter
• Gina Louise Powers, PA-C
• Premier Physician Staffing 2 PLLC
• Catherine Tracy Preston, COTA
• Rebeckah Preston
• Brittney Reann Price
• Lori A Price
• Meredith Ann Price, OTR/L

• Nephrology Physician in McAlester, OK
• Providers in McAlester, OK by specialty
• Nephrology Physician in Oklahoma

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