Pace Dialysis PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

18169 Issued in OK

Legal business name

PACE DIALYSIS PC

Doing business as

Pace Nephrology PC

Practice address

3369 W Broadway
Muskogee, OK 74401

Phone

(918) 683-1873

Fax

(918) 682-3639

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Scott Emory Pace, MD

Title

Owner

Phone

(918) 683-1873

Specialties & licenses 1

Addresses

Other names 1

• Pace Nephrology PC Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1932210192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 W BROADWAY",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-683-1873",
            "fax_number": "918-682-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 W BROADWAY",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-683-1873",
            "fax_number": "918-682-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE DIALYSIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EMORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-683-1873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "18169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pace Nephrology PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savanna Renea Overton
• Daniel D Owen, O.D.
• Stephen Owen
• Kenneth W. Owens, AU.D
• Kyle James Ozaeta
• Andreka Pace, BHRS
• Patrice Diane Pace, DO
• Patricia Pack, PT
• Judy Paden
• Sandra Paden

• Nephrology Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Nephrology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.