DOCTORS CLINIC – NPI #1104901875
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

DOCTORS CLINIC is a provider located in ARDMORE, OK. NPPES has assigned the NPI number 1104901875 to DOCTORS CLINIC on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DOCTORS CLINIC” is a dba name, the actual legal business name for this organization is DR R G PATZKOWSKY PC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 DOCTORS CLINIC below.

NPI Profile for
DR R G PATZKOWSKY PC

NPI Number
1104901875
Enumeration Date

(more than 19 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
DR R G PATZKOWSKY PC
Doing Business As (dba): DOCTORS CLINIC
Primary location
800 ISABEL
ARDMORE, OK 73401
Phone: (580) 223-5432 Fax:
Mailing address
PO BOX 309
ARDMORE, OK 73402-0309
Phone: (580) 223-5432 Fax: (580) 223-6076
Organization Subpart
No
Authorized Official
ROBERT PATZKOWSKY
PHYSICIAN
Phone: (580) 223-5432
Updated
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
208D00000X
- General Practice (Primary)		 OK 1222

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.