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DYNAMIC PHYSICIAN GROUP LLC
NPI 1033077078
Family Medicine in Oklahoma City, OK

Active since January 09, 2026CLIA 37D2339962 · Waiver
2200 SHADOWLAKE DR, OKLAHOMA CITY, OK 73159(405) 554-3344(405) 694-4547 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Jan 9, 2026 (2 updates tracked since 2026).

About Dynamic Physician Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC PHYSICIAN GROUP LLC (NPI 1033077078) is a healthcare organization registered as a family medicine in Oklahoma City, Oklahoma and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Jeanie Marie Loper, Md, as its authorized official.

NPPES Registry Identity

NPI1033077078
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDYNAMIC PHYSICIAN GROUP LLC
Location Address2200 SHADOWLAKE DROklahoma City, OK 73159-7440
Mailing Address2200 Shadowlake DrOklahoma City, OK 73159-7440 · (405) 342-0143 · Fax (405) 260-8784
Phone(405) 554-3344
Fax(405) 694-4547
Organization SubpartNo
Authorized OfficialJeanie Marie LoperMd · (580) 916-2494
Enumeration DateJanuary 9, 2026
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1033077078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
2200 SHADOWLAKE DR, Oklahoma City, OK 73159
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2339962

Dynamic Physicians Group, LLC · Oklahoma City, OK
Active · expires Mar 9, 2028
CLIA Number37D2339962
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorJeanie Loper
Laboratory Phone(405) 342-0143
Laboratory LocationDynamic Physicians Group, LLC2200 Shadow Lake Dr, Oklahoma City, OK 73159
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXIS LYNN CRALLEY MD
General Practice
2200 SHADOWLAKE DR
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 554-3344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynamic Physician Group LLC's NPI number?

The NPI number for Dynamic Physician Group LLC is 1033077078. It was assigned to this organization in the NPPES registry on January 9, 2026.

Where is Dynamic Physician Group LLC located?

Dynamic Physician Group LLC is located at 2200 Shadowlake Dr, Oklahoma City, OK 73159. The listed phone number is (405) 554-3344.

What is Dynamic Physician Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dynamic Physician Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2339962) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dynamic Physician Group LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.