Active NPI
Mosaic Medical Foundation North Okc
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1952937237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOSAIC MEDICAL FOUNDATION NORTH OKC
- Practice address
- 10201 N May Ave
Oklahoma City, OK 73120-2510 - Phone
- (405) 631-0611
- NPI assigned
- Mar 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett Cauthen, MD
- Title
- Member
- Phone
- (405) 445-7492
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
10201 N May Ave
Oklahoma City, OK 73120-2510
Mailing address
701 NE 36TH St
Oklahoma City, OK 73105-7203
Phone (405) 445-7492
National Provider Directory
National Provider DirectoryLocations
10201 N May Ave
Oklahoma City, OK 73120
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1487818449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584489600000",
"number": "1952937237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 NE 36TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731057203",
"telephone_number": "405-445-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 N MAY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731202510",
"telephone_number": "405-631-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC MEDICAL FOUNDATION NORTH OKC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A",
"authorized_official_last_name": "CAUTHEN",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "405-445-7492",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.