Healthcare Provider Details

I. General information

NPI: 1386487668
Provider Name (Legal Business Name): JOSEPH MICHAEL CASE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 N LEE AVE STE 300
OKLAHOMA CITY OK
73103-2612
US

IV. Provider business mailing address

2531 NW 66TH ST
OKLAHOMA CITY OK
73116-4305
US

V. Phone/Fax

Practice location:
  • Phone: 405-231-3000
  • Fax:
Mailing address:
  • Phone: 405-513-4537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1871862334
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: