Steven L Fillmore, MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

14295 Issued in OK

Legal business name

STEVEN L FILLMORE, MD

Practice address

1150 N Hills Shopping Ctr
Ada, OK 74820-1864

Phone

(580) 436-1506

Fax

(580) 436-1519

NPI assigned

Jan 22, 2007

Last updated

Jun 10, 2008By 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

Steven L Fillmore, M.D.NPI 1225010655

Title

Owner

Phone

(580) 436-1506

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Steven Louis Fillmore, M.D.

  • Internal Medicine Physician
  • Ada, OK
  • NPI 1225010655
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1922152545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N HILLS SHOPPING CTR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201864",
            "telephone_number": "580-436-1506",
            "fax_number": "580-436-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N HILLS SHOPPING CTR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201864",
            "telephone_number": "580-436-1506",
            "fax_number": "580-436-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L FILLMORE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "FILLMORE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-436-1506",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "14295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100259020A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Stearns, PHARMD
• Laura L Steele, M. ED.
• Dalena Steidley
• Amy Stepp, LPN
• Sterling Bryant Dawson (Quality Optical Service)
• Oscar Stevens
• Craig Stewart
• Gabriel Drews Stewart, MD
• Kody Ross Stewart, PHARM.D.
• Tara Stick

• Clinic/Center in Ada, OK
• Providers in Ada, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.