Active NPI
Mercy Care LLC
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1992033500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MERCY CARE LLC
- Practice address
- 4345 W Memorial Rd
Ste 110
Oklahoma City, OK 73134-1702 - Phone
- (405) 749-7099
- NPI assigned
- Nov 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Enloe
- Title
- Cfo
- Phone
- (405) 752-3161
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OK | Primary | |
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
4345 W Memorial Rd
Ste 110
Oklahoma City, OK 73134-1702
Mailing address
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
National Provider Directory
National Provider DirectoryLocations
4345 W Memorial Rd
Ste 110
Oklahoma City, OK 73134
Phone (405) 749-7099
4505 Memorial Cir
Oklahoma City, OK 73142
Phone (405) 749-7099
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Midwest City, OK
- NPI 1205955432
-
- Medical Physician Assistant
- Guthrie, OK
- NPI 1104988138
-
- Medical Physician Assistant
- Aurora, CO
- NPI 1235484759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539648000000",
"number": "1992033500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 W MEMORIAL RD",
"address_2": "STE 110",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341702",
"telephone_number": "405-749-7099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-20",
"last_updated": "2018-10-16",
"status": "A",
"authorized_official_last_name": "ENLOE",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "405-752-3161"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.