CRESTCARE FAMILY MEDICINE,PLLC – NPI #1174139554
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CRESTCARE FAMILY MEDICINE,PLLC is a provider located in BROKEN ARROW, OK. NPPES has assigned the NPI number 1174139554 to CRESTCARE FAMILY MEDICINE,PLLC on September 21, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRESTCARE FAMILY MEDICINE,PLLC below.

NPI Profile for
CRESTCARE FAMILY MEDICINE,PLLC

NPI Number
1174139554
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRESTCARE FAMILY MEDICINE,PLLC
Primary location
817 S ELM PL STE 104
BROKEN ARROW, OK 74012-5369
Phone: (918) 251-9698 Fax: (405) 241-9022
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GAURANGI ANKLESARIA
OWNER
Phone: (918) 251-9698
Updated
Certification Date
Sep 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.