Organization Active NPI

Premier Internal Medicine and Pediatrics PLLC

  • Internal Medicine Physician
  • Elk City, OK
National Provider Identifier
1902965411
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25395 Issued in OK
Legal business name
PREMIER INTERNAL MEDICINE AND PEDIATRICS PLLC
Practice address
1710 W 3Rd St Ste 101
Elk City, OK 73644-5160
Phone
(580) 225-3781
Fax
(580) 225-4105
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Andre R May, MD
Title
Physician Owner
Phone
(580) 225-3781

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25395 OK Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 25395 OK

Addresses

Primary practice location

1710 W 3Rd St Ste 101
Elk City, OK 73644-5160

Mailing address

1710 W 3Rd St Ste 101
Elk City, OK 73644-5160
Phone (580) 225-3781

National Provider Directory

National Provider Directory

Locations

1710 W 3rd St
Ste 101
Elk City, OK 73644
Phone (580) 225-3781

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1902965411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST STE 101",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445160",
            "telephone_number": "580-225-3781",
            "fax_number": "580-225-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST STE 101",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445160",
            "telephone_number": "580-225-3781",
            "fax_number": "580-225-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE AND PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "580-225-3781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "25395",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "25395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.