NPI Code Detail JSON Logo

1083626246 NPI number — UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED

NPI Number: 1083626246
Health Care Provider/Practitioner: UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED

Information about “1083626246” NPI (UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED) exists in 1083626246 in HTML format HTML  |  1083626246 in plain Text format TXT  |  1083626246 in PDF (Portable Document Format) PDF  |  1083626246 in an XML format XML  formats.

NPI Number : 1083626246 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083626246",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "620 S MADISON ST",
    "SecondLineMailingAddress": "SUITE 304",
    "MailingAddressCityName": "ENID",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73701-7273",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "580-242-1300",
    "MailingAddressFaxNumber": "580-237-7913",
    "FirstLinePracticeLocationAddress": "620 S MADISON ST",
    "SecondLinePracticeLocationAddress": "SUITE 304",
    "PracticeLocationAddressCityName": "ENID",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73701-7273",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "580-242-1300",
    "PracticeLocationAddressFaxNumber": "580-237-7913",
    "EnumerationDate": "08/13/2006",
    "LastUpdateDate": "10/16/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PONTIOUS",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": "MICHAEL",
    "AuthorizedOfficialTitle": "PROFESSOR DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "580-242-1300",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "261QM2500X",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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