Dycus-Camp Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DYCUS-CAMP CLINIC INC

Practice address

320 N Service Rd
Moore, OK 73160-4945

Phone

(405) 794-4474

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Shelley R Shelton

Title

Office Manager

Phone

(405) 794-4474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1982896544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N SERVICE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604945",
            "telephone_number": "405-794-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N SERVICE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604945",
            "telephone_number": "405-794-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCUS-CAMP CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-794-4474",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phong Duong
• Tiffany Dawn Dupree, DO
• Carolyn Durbin, M.S., CCC-SLP
• Elizabeth Duren, LMSW
• Alexandria Sierra Dutt, LMSW
• Kayli Dyer, PHARMD
• Storm Michael Eagle, APRN-CNP
• Leslie Allison Earl, LPC
• Eastlake Health Care, Inc.
• Hope Elizabeth Eaton

• Family Medicine Physician in Moore, OK
• Providers in Moore, 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 Apr 4, 2013; 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.