NPIMap

Organization Active NPI

State of Oklahoma

Doing business as UCO Student Health Center

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1952334658
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STATE OF OKLAHOMA
Doing business as
UCO Student Health Center
Practice address
100 N University Dr # 105
Edmond, OK 73034-5207
Phone
(405) 974-3117
Fax
(405) 974-3832
NPI assigned
Jul 8, 2006
Last updated
Mar 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Jeanne E Parson
Title
Clininc Director
Phone
(405) 974-3117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

100 N University Dr # 105
Edmond, OK 73034-5207

Mailing address

100 N University Dr # 123
Edmond, OK 73034-5207
Phone (405) 974-3117

Other names 1

  • UCO Student Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma Forensic Center140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

100 N University Dr
#105
Edmond, OK 73034
Phone (405) 974-3117

100 N University Dr
#123
Edmond, OK 73034
Phone (405) 974-2316

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1952334658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N UNIVERSITY DR # 123",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345207",
            "telephone_number": "405-974-3117",
            "fax_number": "405-974-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N UNIVERSITY DR # 105",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345207",
            "telephone_number": "405-974-3117",
            "fax_number": "405-974-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "PARSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLININC DIRECTOR",
        "authorized_official_telephone_number": "405-974-3117"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCO Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.