Organization Active NPI

First Med Clinic S Walker LLC

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1912346594
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRST MED CLINIC S WALKER LLC
Practice address
7807 S Walker Ave
Oklahoma City, OK 73139-9470
Phone
(405) 636-0767
Fax
(405) 636-0353
NPI assigned
Jun 18, 2013
Organization subpart
Yes
Parent organization
ADVANCE PHYSICIANS GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Todd Lechtenberger
Title
Ceo
Phone
(405) 471-6400

Specialties & licenses 1

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

Addresses

Primary practice location

7807 S Walker Ave
Oklahoma City, OK 73139-9470

Mailing address

1221 N Kelly Ave
Edmond, OK 73003-4865
Phone (405) 471-6400

National Provider Directory

National Provider Directory
Part of
Advance Physicians Grou

Locations

7807 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 636-0767

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1912346594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034865",
            "telephone_number": "405-471-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399470",
            "telephone_number": "405-636-0767",
            "fax_number": "405-636-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MED CLINIC S WALKER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCE PHYSICIANS GROUP LLC",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "LECHTENBERGER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-471-6400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.