NPIMap

Organization Active NPI

Doctor'S Clinic of Durant, Inc.

  • Family Medicine Physician
  • Wapanucka, OK
National Provider Identifier
1861701526
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11978 Issued in OK
Legal business name
DOCTOR'S CLINIC OF DURANT, INC.
Practice address
102 N Choctaw
Wapanucka, OK 73461
Phone
(580) 937-9900
Fax
(580) 937-9935
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Edie Howell
Title
Office Manager
Phone
(580) 775-1656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 11978 OK Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 11979 OK

Addresses

Primary practice location

102 N Choctaw
Wapanucka, OK 73461

Mailing address

PO Box 97
Wapanucka, OK 73461-0097
Phone (580) 937-9900

Other names 1

  • TriCounty Family Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doctors Clinic of Durant Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1861701526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "WAPANUCKA",
            "state": "OK",
            "postal_code": "734610097",
            "telephone_number": "580-937-9900",
            "fax_number": "580-937-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N CHOCTAW",
            "city": "WAPANUCKA",
            "state": "OK",
            "postal_code": "73461",
            "telephone_number": "580-937-9900",
            "fax_number": "580-937-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S CLINIC OF DURANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "EDIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-775-1656"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "11978",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "11979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TriCounty Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wapanucka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.