Organization Active NPI

Newcastle Family Medicine Center

  • Family Medicine Physician
  • Newcastle, OK
National Provider Identifier
1992726624
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEWCASTLE FAMILY MEDICINE CENTER
Practice address
300 S Main St
Newcastle, OK 73065-5403
Phone
(405) 387-3120
Fax
(405) 387-3122
NPI assigned
Jul 21, 2006
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Greg L Terrell
Title
Sr VP, Coo
Phone
(405) 307-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

300 S Main St
Newcastle, OK 73065-5403

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-6668

Other identifiers 1

IdentifierTypeStateIssuer
100700690OMedicaidOK

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

422 S Main St
Newcastle, OK 73065
Phone (405) 387-3120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1992726624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6668",
            "fax_number": "866-815-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730655403",
            "telephone_number": "405-387-3120",
            "fax_number": "405-387-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCASTLE FAMILY MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR VP, COO",
        "authorized_official_telephone_number": "405-307-1000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700690O",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.