Juan a. Maldonado MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

18749 Issued in OK

Legal business name

JUAN A. MALDONADO MD INC

Practice address

404 SE 11TH St
Anadarko, OK 73005-4442

Phone

(405) 247-7346

Fax

(405) 247-7565

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Juan A Maldonado, MD

Title

President

Phone

(405) 247-7346

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen B Bird Pico, MD

  • Internal Medicine Physician
  • Anadarko, OK
  • NPI 1396184875
  NPD (past)
• Sarah Elise Smith, MD

  • Family Medicine Physician
  • Anadarko, OK
  • NPI 1104355114
  NPD (past)

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1972819225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SE 11TH ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054442",
            "telephone_number": "405-247-7346",
            "fax_number": "405-247-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SE 11TH ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054442",
            "telephone_number": "405-247-7346",
            "fax_number": "405-247-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN A. MALDONADO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-247-7346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "18749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Renee Johnson
• Jonathon V. Thomas, DDS,PC
• Jones Health Care, Inc.
• Chrystal Denise Jones I
• Tonya Kay Jones, APRN
• Kathy Rene Kappelle, P.T.
• Michael Kelley
• Kiowa Alcohol Drug Addictions Prevention
• Mattea Rachael Lear
• Laci Lanae Lessig, DPH

• Primary Care Clinic/Center in Anadarko, OK
• Providers in Anadarko, 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 Aug 25, 2010; 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.