Organization Active NPI

Krablin Medical Clinic PC

  • Internal Medicine Physician
  • Lexington, OK
National Provider Identifier
1922055136
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21711 Issued in OK
Legal business name
KRABLIN MEDICAL CLINIC PC
Practice address
301 W Broadway St
Lexington, OK 73051-8960
Phone
(405) 590-4478
Fax
(405) 696-5038
NPI assigned
May 31, 2006
Last updated
Sep 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Dr. James B Krablin, MDNPI 1679509657
Title
President Owner
Phone
(405) 657-8816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21711 OK Primary

Addresses

Primary practice location

301 W Broadway St
Lexington, OK 73051-8960

Mailing address

PO Box 32348
Edmond, OK 73003-0331
Phone (888) 337-2521

Other identifiers 2

IdentifierTypeStateIssuer
611206400OtherOKDEPT OF LABOR
100756040AMedicaidOK

National Provider Directory

National Provider Directory

Locations

500 N Main St
Hennessey, OK 73742
Phone (405) 853-2995

1415 S Main St
Kingfisher, OK 73750
Phone (405) 375-3157

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1922055136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32348",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730030331",
            "telephone_number": "888-337-2521",
            "fax_number": "405-261-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BROADWAY ST",
            "city": "LEXINGTON",
            "state": "OK",
            "postal_code": "730518960",
            "telephone_number": "405-590-4478",
            "fax_number": "405-696-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRABLIN MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "KRABLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "405-657-8816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "21711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "611206400",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100756040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.