Phoenix Physician Services Inc
Organization Active NPI Medical Specialty Clinic/Center · Oklahoma City, OK
NPI 1902866288 · NPPES record last updated Feb 12, 2010
Key facts
- NPI
- 1902866288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- PHOENIX PHYSICIAN SERVICES INC
- Practice address
- 4300 W Memorial Rd
ER Dept.
Oklahoma City, OK 73120-8304 - Phone
- (405) 752-3733
- Fax
- (405) 749-4561
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul Dean Orcutt, M.D.
- Title
- President
- Phone
- (405) 751-4664
Practitioners 1
-
Paul Orcutt, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
4300 W Memorial Rd
ER Dept.
Oklahoma City, OK 73120-8304
Mailing address
4401 W Memorial Rd
Suite 121
Oklahoma City, OK 73134-1785
Phone (405) 751-4664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100742040A | Medicaid | OK | |
| 175187000 | Other | OK | DEPT OF LABOR |
Other providers in Oklahoma City, OK
- Kimmie Phisaiwath
- Anhkim Pho
- Phoenix Center for Pastoral Counseling
- Phoenix Health Care LLC
- Phoenix Healthcare LLC
- Phoenix Warrior Services LLC
- PHP Ok PC
- Vinh Phung
- Phycility LLC
- Physical Medicine and Rehabilitation Associates, P.C.
All providers in Oklahoma City, OK · Medical Specialty Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.