Organization Active NPI

On Demand Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Owasso, OK
National Provider Identifier
1982161386
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ON DEMAND URGENT CARE, LLC
Practice address
11426 N 134TH E Ave
Owasso, OK 74055-5755
Phone
(918) 376-6345
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Mr. William Shaffer
Title
Owner
Phone
(918) 376-6345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

11426 N 134TH E Ave
Owasso, OK 74055-5755

Mailing address

11426 N 134TH E Ave.
Owasso, OK 74055
Phone (918) 376-6345

Other names 1

  • Oklahoma On Demand Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213000218 OK Part B Supplier - Clinic/Group Practice 9234565110 Receives reassigned benefits from 7 practitioners
Practice locations: Owasso, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2164493Oklahoma on Demand Urgent Care11426 N 134TH E Ave, Owasso, OK 74055ComplianceJan 10, 2028

National Provider Directory

National Provider Directory

Locations

11426 N 134th East Ave
Owasso, OK 74055
Phone (918) 376-6345

11560 N 135th East Ave
Ste 101
Owasso, OK 74055
Phone (918) 533-1188

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1982161386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11426 N 134TH E AVE.",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-376-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11426 N 134TH E AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555755",
            "telephone_number": "918-376-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON DEMAND URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-376-6345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma On Demand Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oklahoma On Demand Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.