Carefirst Wellness Associates of Ok LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAREFIRST WELLNESS ASSOCIATES OF OK LLC

Practice address

2222 W Iowa Ave
Chickasha, OK 73018-2738

Phone

(405) 224-8111

NPI assigned

Apr 19, 2022

Last updated

Apr 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hareshkumar Boghara, MD

Title

President

Phone

(214) 250-2140

Specialties & licenses 11

Addresses

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1912640764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-224-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-224-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Burr Ave",
            "address_purpose": "LOCATION",
            "city": "Pauls Valley",
            "state": "OK",
            "postal_code": "730753848",
            "country_code": "US",
            "telephone_number": "405-238-4633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 N Bryant Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730346307",
            "country_code": "US",
            "telephone_number": "405-920-1788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Melville Dr",
            "address_purpose": "LOCATION",
            "city": "Pauls Valley",
            "state": "OK",
            "postal_code": "730756610",
            "country_code": "US",
            "telephone_number": "405-331-5128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 E Central Blvd",
            "address_purpose": "LOCATION",
            "city": "Anadarko",
            "state": "OK",
            "postal_code": "730054406",
            "country_code": "US",
            "telephone_number": "405-247-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREFIRST WELLNESS ASSOCIATES OF OK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "BOGHARA",
        "authorized_official_first_name": "HARESHKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-250-2140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew William Byte, L.P.C, L.A.D.C.
• Glyn Andrew Byte, L.P.C.
• Cancer Centers of Southwest Oklahoma, LLC (Cancer Centers of Southwest Oklahoma)
• Rebecca D. Cantrell
• Care Choice Hospice of Duncan
• Michael Caro Jr.
• Jill C Carroll, M.S., LPC
• Maryalice Case, PMHNP
• Katherine June Cate, CTRS
• Central Oklahoma Home Healthcare Inc.

• Family Medicine Physician in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.