Organization Active NPI

MD Care Clinic, P.C.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1992980882
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23554 Issued in OK
Legal business name
MD CARE CLINIC, P.C.
Practice address
2305 N Meridian Ave
Oklahoma City, OK 73107-2631
Phone
(405) 604-4889
Fax
(405) 604-5310
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Jeffery Porras, MD
Title
Owner
Phone
(405) 604-4889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 23554 OK Primary

Addresses

Primary practice location

2305 N Meridian Ave
Oklahoma City, OK 73107-2631

Mailing address

2305 N Meridian Ave
Oklahoma City, OK 73107-2631
Phone (405) 604-4889

National Provider Directory

National Provider Directory

Locations

2305 N Meridian Ave
Oklahoma City, OK 73107
Phone (405) 602-2774

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1992980882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072631",
            "telephone_number": "405-604-4889",
            "fax_number": "405-604-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072631",
            "telephone_number": "405-604-4889",
            "fax_number": "405-604-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CARE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-604-4889",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23554",
            "primary": true
        }
    ],
    "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 Jan 9, 2008; 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.