Organization Active NPI

FGG LLC

  • Health Service Clinic/Center
  • Norman, OK
National Provider Identifier
1972863041
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FGG LLC
Practice address
755 Jenkins Ave
Norman, OK 73069-4951
Phone
(405) 701-2420
Fax
(405) 701-2447
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Philicia M Groves, NP
Title
Nurse Practitioner, Administrator
Phone
(405) 701-2420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

755 Jenkins Ave
Norman, OK 73069-4951

Mailing address

755 Jenkins Ave
Norman, OK 73069-4951
Phone (405) 701-2420

Other names 1

  • JENKINS STREET CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

755 Jenkins Ave
Norman, OK 73069
Phone (405) 701-2420

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1972863041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 JENKINS AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694951",
            "telephone_number": "405-701-2420",
            "fax_number": "405-701-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 JENKINS AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694951",
            "telephone_number": "405-701-2420",
            "fax_number": "405-701-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FGG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "PHILICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, ADMINISTRATOR",
        "authorized_official_telephone_number": "405-701-2420",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENKINS STREET CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.