Organization Active NPI

Vic Fey MD Inc a Professional Corporation

  • Family Medicine Physician
  • Clinton, OK
National Provider Identifier
1932237633
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207Q00000X Issued in OK
Legal business name
VIC FEY MD INC A PROFESSIONAL CORPORATION
Practice address
90 N 30TH St
#1
Clinton, OK 73601-3101
Phone
(580) 323-5433
Fax
(580) 323-3833
NPI assigned
Mar 2, 2007
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Mr. Vic L. Fey, M.D.
Title
President
Phone
(580) 323-5433

Specialties & licenses 1

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

Addresses

Primary practice location

90 N 30TH St
#1
Clinton, OK 73601-3101

Mailing address

90 N 30TH St
#1
Clinton, OK 73601-3101
Phone (580) 323-5433

Other identifiers 2

IdentifierTypeStateIssuer
100107020BMedicaidOK
100107020CMedicaidOK

National Provider Directory

National Provider Directory

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1932237633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N 30TH ST",
            "address_2": "#1",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013101",
            "telephone_number": "580-323-5433",
            "fax_number": "580-323-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N 30TH ST",
            "address_2": "#1",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013101",
            "telephone_number": "580-323-5433",
            "fax_number": "580-323-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIC FEY MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "VIC",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-323-5433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107020B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107020C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.