NPIMap

Organization Active NPI

PHP Ok PC

  • Family Medicine Physician
  • Yukon, OK
National Provider Identifier
1902504343
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHP OK PC
Practice address
10616 W Highway 66 Ste 200
Yukon, OK 73099-0035
Phone
(405) 805-4130
Fax
(405) 805-4131
NPI assigned
Feb 15, 2023
Organization subpart
Yes
Parent organization
PHP E YUKONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Angie McKinney
Title
Operations Managewr
Phone
(405) 577-6571

Specialties & licenses 1

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

Addresses

Primary practice location

10616 W Highway 66 Ste 200
Yukon, OK 73099-0035

Mailing address

1820 Commons Cir Ste B
Yukon, OK 73099-9518
Phone (405) 577-6571

Other names 1

  • Primary Health Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PHP Ok PC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10616 W Highway 66
#200
Yukon, OK 73099
Phone (405) 805-4130

4301 N Sara Rd
Ste 200
Yukon, OK 73099

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1902504343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 COMMONS CIR STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999518",
            "telephone_number": "405-577-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 W HIGHWAY 66 STE 200",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990035",
            "telephone_number": "405-805-4130",
            "fax_number": "405-805-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHP OK PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHP E YUKON",
        "enumeration_date": "2023-02-15",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGEWR",
        "authorized_official_telephone_number": "405-577-6571"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.