Organization Active NPI

Mashek Health Services, LLC

  • Family Medicine Physician
  • Shawnee, OK
National Provider Identifier
1902146723
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25902 Issued in OK
Legal business name
MASHEK HEALTH SERVICES, LLC
Practice address
4521 Gracelann
Shawnee, OK 74804-2366
Phone
(479) 461-7839
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Lara D Maskek, M.D.
Title
Member
Phone
(479) 461-7839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25902 OK Primary

Addresses

Primary practice location

4521 Gracelann
Shawnee, OK 74804-2366

Mailing address

4521 Gracelann
Shawnee, OK 74804-2366
Phone (479) 461-7839

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1902146723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 GRACELANN",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042366",
            "telephone_number": "479-461-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 GRACELANN",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042366",
            "telephone_number": "479-461-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHEK HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "MASKEK",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-461-7839",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.