NPIMap

Organization Active NPI

David W Furr LLC

Doing business as Roland Available Medical Clinic

  • Internal Medicine Physician
  • Roland, OK
National Provider Identifier
1902950116
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3855 Issued in OK
Legal business name
DAVID W FURR LLC
Doing business as
Roland Available Medical Clinic
Practice address
307 E Ray Fine Blvd
Roland, OK 74954-5160
Phone
(918) 427-3760
Fax
(918) 427-0081
NPI assigned
Jan 23, 2007
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. David Wayne Furr, DO
Title
Physician Owner
Phone
(479) 420-6618

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3855 OK Primary
Internal Medicine Physician 207R00000X E-3777 AR

Addresses

Primary practice location

307 E Ray Fine Blvd
Roland, OK 74954-5160

Mailing address

PO Box 11407
Birmingham, AL 35246-1555
Phone (918) 427-3760

Other identifiers 3

IdentifierTypeStateIssuer
100072520-CMedicaidOK
150957003MedicaidAR
9R067OtherARBLUE CROSS BLUE SHIELD AR

Other names 1

  • Roland Available Medical Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1902950116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352461555",
            "telephone_number": "918-427-3760",
            "fax_number": "918-427-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E RAY FINE BLVD",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545160",
            "telephone_number": "918-427-3760",
            "fax_number": "918-427-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W FURR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "FURR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "479-420-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3855",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-3777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072520-C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150957003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AR",
            "identifier": "9R067",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roland Available Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roland, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.