NPIMap

Organization Active NPI

Family Care 323, PLLC

  • Hospitalist Physician
  • Oklahoma City, OK
National Provider Identifier
1861806986
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
FAMILY CARE 323, PLLC
Practice address
1111 N Lee Ave Ste 305
Oklahoma City, OK 73103-2620
Phone
(405) 272-4978
Fax
(405) 772-4430
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Dr. Matthew Jefferson Jared, MDNPI 1205060183
Title
President
Phone
(405) 226-1881

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

1111 N Lee Ave Ste 305
Oklahoma City, OK 73103-2620

Mailing address

1111 N Lee Ave Ste 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220608003172 OK Part B Supplier - Clinic/Group Practice 8123341666 Receives reassigned benefits from 2 practitioners
Practice locations: Alva, OK; Beaver, OK; Cordell, OK; Fairview, OK; Hollis, OK; Midwest City, OK; Okeene, OK; Oklahoma City, OK…

National Provider Directory

National Provider Directory

Locations

1111 N Lee Ave
Ste 310
Oklahoma City, OK 73103
Phone (405) 272-4978

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

Practitioners & affiliated clinicians

Practitioners 10

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": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1861806986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 305",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620",
            "telephone_number": "405-272-4978",
            "fax_number": "405-772-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 305",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620",
            "telephone_number": "405-272-4978",
            "fax_number": "405-772-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE 323, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "JARED",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-226-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "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 Jul 26, 2022; 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.