NPIMap

Organization Active NPI

Docfell Medical LLC

  • Primary Care Clinic/Center
  • Tahlequah, OK
National Provider Identifier
1861888083
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3804 Issued in OK
Legal business name
DOCFELL MEDICAL LLC
Practice address
26043 S 505 Rd
Tahlequah, OK 74464-8106
Phone
(918) 864-0660
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
John Edward Fell, D.O.
Title
Manager
Phone
(918) 864-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3804 OK Primary

Addresses

Primary practice location

26043 S 505 Rd
Tahlequah, OK 74464-8106

Mailing address

26043 S 505 Rd
Tahlequah, OK 74464-8106
Phone (918) 864-0660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1861888083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26043 S 505 RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744648106",
            "telephone_number": "918-864-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26043 S 505 RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744648106",
            "telephone_number": "918-864-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCFELL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "FELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-864-0660",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.