Sitesource Medical, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SITESOURCE MEDICAL, LLC

Practice address

324 N Robinson Ave
Oklahoma City, OK 73102-6416

Phone

(405) 748-0122

NPI assigned

Feb 20, 2015

Organization subpart

No

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

Authorized official

Name

Karie Bailey, LCSW

Title

Owner

Phone

(405) 748-0122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1932591419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18622",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731540622",
            "telephone_number": "405-748-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N ROBINSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026416",
            "telephone_number": "405-748-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITESOURCE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-748-0122",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Adult Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.