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PHYSICIANS AT HOME INC. NPI 1487824595


NPI Information

NPI: 1487824595
Provider Name: PHYSICIANS AT HOME, INC.
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 37D1082355

Address:
7 S MICKEY MANTLE DR
STE. 325
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 232-0101
Get Directions

PHYSICIANS AT HOME, INC. is a geriatric medicine family medicine in Oklahoma City, OK. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. PHYSICIANS AT HOME, INC. NPI is 1487824595. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7 S MICKEY MANTLE DR
STE. 325
OKLAHOMA CITY, OK
ZIP 73104-458
Phone: (405) 232-0101
Fax: (405) 232-0102

The provider's authorized official is James Ferris .
The authorized official title is Medical Director and has the following contact phone number (405) 232-0101.

The CLIA number assigned to this NPI record is 37D1082355 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 1/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OK402485MEDICARE PINOKLAHOMA
2OK700309MEDICARE PINOKLAHOMA
3OK404564MEDICARE PIN
4OK700077MEDICARE PINOKLAHOMA
5OK404154MEDICARE PINOKLAHOMA
6OKB5061MEDICARE PINOKLAHOMA
7OK404411MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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