Organization Active NPI

Redi-Care Clinic, P. C.

  • Primary Care Clinic/Center
  • Shawnee, OK
National Provider Identifier
1952566952
Registry record updated Jul 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1984 Issued in OK
Legal business name
REDI-CARE CLINIC, P. C.
Practice address
753 E Independence St
Shawnee, OK 74804-4012
Phone
(405) 878-0230
Fax
(405) 275-9583
NPI assigned
Jul 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2008

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

Authorized official

Name
Dr. Tobi Fried, D.O.
Title
President
Phone
(405) 878-0230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1984 OK Primary

Addresses

Primary practice location

753 E Independence St
Shawnee, OK 74804-4012

Mailing address

753 E Independence St
Shawnee, OK 74804-4012
Phone (405) 878-0230

National Provider Directory

National Provider Directory

Locations

753 E Independence St
Shawnee, OK 74804
Phone (405) 878-0230

NPI Registry JSON

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216512000000",
    "number": "1952566952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 E INDEPENDENCE ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044012",
            "telephone_number": "405-878-0230",
            "fax_number": "405-275-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 E INDEPENDENCE ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044012",
            "telephone_number": "405-878-0230",
            "fax_number": "405-275-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDI-CARE CLINIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-20",
        "last_updated": "2008-07-20",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "TOBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-878-0230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.