Concentra Health Care, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CONCENTRA HEALTH CARE, P.A.

Practice address

901 SW Goodyear Blvd
Lawton, OK 73505-9755

Phone

(580) 531-5878

Fax

(580) 531-5779

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

William Tom Fogarty, MD

Title

President

Phone

(972) 364-8000

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1962791780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DRIVE",
            "address_2": "SUITE 1200 WEST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014624",
            "telephone_number": "972-364-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW GOODYEAR BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059755",
            "telephone_number": "580-531-5878",
            "fax_number": "580-531-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA HEALTH CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-364-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Concentra Health Care, P.a.
• Julie Connally
• Alexis Conner
• Daviaann Connywerdy
• Casey Arron Conran, DC
• Daniel Glenn Constance, M.D.

• Primary Care Clinic/Center in Lawton, OK
• Providers in Lawton, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.