NPIMap

Organization Active NPI

Sallisaw Family Medicine, L.L.C.

  • Family Medicine Physician
  • Sallisaw, OK
National Provider Identifier
1972964666
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SALLISAW FAMILY MEDICINE, L.L.C.
Practice address
104 South Oak St
Sallisaw, OK 74955
Phone
(918) 775-0063
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. Frederick Joseph Fuoco
Title
Sole Member
Phone
(504) 495-6772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

104 South Oak St
Sallisaw, OK 74955

Mailing address

5 Tennyson Place
New Orleans, LA 70131
Phone (504) 495-6772

National Provider Directory

National Provider Directory

Locations

104 S Oak St
Sallisaw, OK 74955
Phone (918) 775-0063

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1972964666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TENNYSON PLACE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70131",
            "telephone_number": "504-495-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SOUTH OAK ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-775-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLISAW FAMILY MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "FUOCO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "504-495-6772",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.