1194003871 NPI number — CHRISTOPHER D CAREY MD PLLC

Table of content: (NPI 1194003871)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194003871 NPI number — CHRISTOPHER D CAREY MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTOPHER D CAREY MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194003871
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 720786
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORMAN
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73070-4610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-292-5500
Provider Business Mailing Address Fax Number:
405-292-5505

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3400 NW EXPRESSWAY
Provider Second Line Business Practice Location Address:
SUITE 420
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73112-4493
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-713-9935
Provider Business Practice Location Address Fax Number:
405-713-9936
Provider Enumeration Date:
07/28/2011

Additional Information

Authorized Official

Authorized Official Last Name:
CAREY
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
D
Authorized Official Title or Position:
MANAGING PARTNER
Authorized Official Telephone Number:
405-513-0087

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  28389 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 28389 . This is a "OKLAHOMA LICENSE NUMBER" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".




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