SPECTRA FAMILY MEDICAL CLINIC LLC


Address: 6520 E Reno, Suite A, Midwest City, OK 73110-2109
Phone: 4057330120

SPECTRA FAMILY MEDICAL CLINIC LLC (NPI# 1386812345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386812345
Entity Type Organization
Organization Name SPECTRA FAMILY MEDICAL CLINIC LLC
Practice Address 6520 E Reno
Suite A
Midwest City
OK 73110-2109
Mailing Address Po Box 223
Spencer
OK 73084-0223
Practice Telephone 4057330120
Practice Fax Number 4057337876
Mailing Telephone 4057330120
Mailing Fax Number 4057337876
Enumeration Date 2008-02-13
Last Update Date 2013-03-12
Authorized Official Name MRS. DAVONDRA LOVE OWENS (CFO)
Authorized Official Telephone 4057330120
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 173000000X Legal Medicine 8459 OK Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 200131340A 05

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations SPECTRA FAMILY MEDICAL CLINIC LLC 9826 Ne 23rd St, Oklahoma City, OK 73141

Office Location

Street Address 6520 E RENO
SUITE A
City MIDWEST CITY
State OK
Zip Code 73110-2109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255939377 Torry E Elston Technician/Technologist 5908 Se 15th St, Midwest City, OK 73110 2020-10-12
1083225783 Daniel B Nguyen Pharmacist 1601 S Air Depot, Midwest City, OK 73110 2020-08-14
1114494903 Tiandrea Jeanae Neal Behavioral Analyst 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 2018-10-30
1467902593 Brian Christopher Lewis Case Manager/Care Coordinator 8616 Cedar Ridge Drive, Midwest City, OK 73110 2016-10-13
1669839312 National Iom, Pllc Electrodiagnostic Medicine 1205 S. Air Depot # 102, Midwest City, OK 73110 2016-01-26
1003292210 Alexandrea Funston Speech-Language Pathologist 224 E Blossom Drive, Midwest City, OK 73110 2015-08-11
1184053399 Ronya Caraway Community/Behavioral Health 7901 Ne 10th, B106, Midwest City, OK 73110 2013-11-07
1245678374 Layfette Lamar Fletcher Counselor 405 Delia Street, Midwest City, OK 73110 2013-06-11
1114364163 Kathryn Ann Gray Social Worker 1391 North Midwest Blvd., Midwest City, OK 73110 2013-05-31
1841542545 Steven Atkins Akinnfest Counselor 417 Reed Place, Midwest City, OK 73110 2012-10-05
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Taxonomy Information

Taxonomy Code 173000000X
Grouping Other Service Providers
Classification Legal Medicine

Taxonomy Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609339753 Jeremiah Mathew Cozby I Legal Medicine 27440 Potts Mtn Rd, Heavener, OK 74937-3698 2019-04-07
1508128216 James Stephen Beck Legal Medicine 1639 Pine Dr, Grove, OK 74344-5503 2012-06-10
1689875213 Microvas Treatment Centers of America Legal Medicine 6130 S Memorial Dr, Tulsa, OK 74133-1933 2007-05-30
1528001344 David A Porter Legal Medicine 1407 N Porter Ave, Norman, OK 73071-6606 2006-06-13
1003858416 Hefner West Medical Clinic, P.C. Legal Medicine 4400 Nw 63rd St, Oklahoma City, OK 73116-1545 2006-06-11
1417955063 Clinton Bradshaw Webster Legal Medicine 3705 Nw 63rd St, Suite 204, Oklahoma City, OK 73116-1935 2005-07-08
1831332956 Vivian Viera, Md, Plc Legal Medicine 900 N Porter Ave, Suite 105, Norman, OK 73071-6425 2009-04-20
1245353713 Tricities Medical & Surgical Legal Medicine 1509 S Indian Rd, Wewoka, OK 74884-9781 2007-04-09
1881756740 Medical Associates of Cushing, P.C. Legal Medicine 1030 E Cherry St, Cushing, OK 74023-4102 2006-12-15
1184739765 John D Sutton Legal Medicine 1818 Kansas Ave, Woodward, OK 73801-2912 2006-08-21
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Competitor

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City MIDWEST CITY
Zip Code 73110

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Dataset Information

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.

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