Physician'S Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2113 Issued in OK

Legal business name

PHYSICIAN'S MEDICAL CLINIC

Practice address

1412 Fir St
Perry, OK 73077-5036

Phone

(580) 336-3511

Fax

(580) 336-5199

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Richard G Seal, D.O.

Title

Owner

Phone

(580) 336-3511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972688158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 FIR ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775036",
            "telephone_number": "580-336-3511",
            "fax_number": "580-336-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 FIR ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775036",
            "telephone_number": "580-336-3511",
            "fax_number": "580-336-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-336-3511",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry School District
• Perry Smiles
• Perry Wellness Center PLLC
• PFD PLLC
• Maegan Phillips
• Chelsea Redman
• Heath Rice
• Amy Beth Roberts, PT
• Lonnie Douglas Rutherford, LADC
• Diana Samarripa

• Family Medicine Physician in Perry, OK
• Providers in Perry, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.