PRIMARY CARE MEDICAL CLINIC PLC (NPI# 1275953820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275953820 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE MEDICAL CLINIC PLC |
| Practice Address |
13600 Prairie View Ln Oklahoma City OK 73142-5917 |
| Practice Telephone | 8883307831 |
| Practice Fax Number | 8883307831 |
| Mailing Telephone | 8883307831 |
| Mailing Fax Number | 8883307831 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Authorized Official Name | DR. MICHAEL SHANE JOHNSON (OWNER) |
| Authorized Official Telephone | 8109418245 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
30380 | OK | Ambulatory Health Care Facilities |
| Street Address |
13600 PRAIRIE VIEW LN |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770877151 | Michael Shane Johnson | General Practice | 13600 Prairie View Ln, Oklahoma City, OK 73142-5917 | 2011-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019556 | Dorissenia Anntionette Peoples | Clinic/Center | 5817 Nw 90th St, Oklahoma City, OK 73132-2830 | 2020-06-29 |
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1497306153 | Careatc | Clinic/Center | 424 Colcord Dr Ste A, Oklahoma City, OK 73102-2500 | 2019-09-24 |
| 1114578887 | Careatc | Clinic/Center | 13500 S Tulsa Dr Ste 302, Oklahoma City, OK 73170-9725 | 2019-09-24 |
| 1144700477 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 4200 Coletta Dr, Oklahoma City, OK 73120-8317 | 2018-08-16 |
| 1225518558 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 136 Nw 10th St Ste 110, Oklahoma City, OK 73103-4906 | 2018-08-16 |
| 1548788698 | Total Primary Care.pc | Clinic/Center | 6301 N Meridian Ave Ste 103, Oklahoma City, OK 73112-1267 | 2017-09-08 |
| 1639621246 | Careatc-okc Care | Clinic/Center | 424 Colcord Dr, Suite A, Oklahoma City, OK 73102-2215 | 2016-10-30 |
| 1609240423 | Today Clinic Pllc | Clinic/Center | 10201 N May Ave, Oklahoma City, OK 73120-2510 | 2015-11-17 |
| 1174995641 | Quad/med, LLC | Clinic/Center | 6801 S Sunnylane Rd, Oklahoma City, OK 73135-1712 | 2015-10-23 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
Please comment or provide details below to improve the information on PRIMARY CARE MEDICAL CLINIC PLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.