1. Home
  2. Directory
  3. Oklahoma
  4. Pawnee
  5. Family Medicine
  6. NPI Profile

PHOENIX MEDICAL CENTER
NPI 1205208535
Family Medicine in Pawnee, OK

Active since October 26, 2015CLIA 37D2104490 · Waiver
557 HARRISON ST, PAWNEE, OK 74058(918) 762-5050(877) 515-8550 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Medical Center NPPES

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

PHOENIX MEDICAL CENTER (NPI 1205208535) is a healthcare organization registered as a family medicine in Pawnee, Oklahoma and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Kinyada Singleton, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1205208535
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHOENIX MEDICAL CENTER
Location Address557 HARRISON STPawnee, OK 74058-2566
Mailing Address1141 N Robinson Ave, 101aOklahoma City, OK 73103-4929 · (405) 601-6181 · Fax (405) 601-7012
Phone(918) 762-5050
Fax(877) 515-8550
Organization SubpartNo
Authorized OfficialKinyada SingletonManaging Partner · (405) 601-6181
Enumeration DateOctober 26, 2015
✔ NPI 1205208535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedGeneral PracticeTaxonomy 208D00000X
557 HARRISON ST, Pawnee, OK 74058
Open in Google Maps ↗

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 37D2104490

Phoenix Medical Center Assoc Holdings, LLC · Pawnee, OK
Active · expires Nov 4, 2027
CLIA Number37D2104490
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorJason T. Stansill
Laboratory Phone(918) 762-5050
Laboratory LocationPhoenix Medical Center Assoc Holdings, LLC557 Harrison, Pawnee, OK 74058
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ASSOC HOLDINGS LLC
Family Medicine
557 HARRISON ST
PAWNEE, OK 74058
Pawnee County (918) 762-5050
WILLIAM EDWARD CLYMER DO
Family Medicine
557 HARRISON ST
PAWNEE, OK 74058
Pawnee County (918) 762-5050
PHOENIX PRIMARY CARE, LLC
Clinic/Center (Primary Care)
557 HARRISON ST
PAWNEE, OK 74058
Pawnee County (918) 762-5050

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 Phoenix Medical Center's NPI number?

The NPI number for Phoenix Medical Center is 1205208535. It was assigned to this organization in the NPPES registry on October 26, 2015.

Where is Phoenix Medical Center located?

Phoenix Medical Center is located at 557 Harrison St, Pawnee, OK 74058. The listed phone number is (918) 762-5050.

What is Phoenix Medical Center's specialty?

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

Does Phoenix Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2104490) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix Medical Center was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.