WEATHERFORD FAMILY PRACTICE MEDICAL CENTER PLLC
NPI 1528204567
Family Medicine in Weatherford, OK

NPI Status: Active since December 22, 2008

Contact Information

3739 LEGACY
WEATHERFORD, OK
ZIP 73096
Phone: (580) 772-2400
Fax: (580) 772-2408

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  • Organization
  • Family Medicine

About WEATHERFORD FAMILY PRACTICE MEDICAL CENTER PLLC

This page provides the complete NPI Profile along with additional information for Weatherford Family Practice Medical Center Pllc, a primary care provider established in Weatherford, Oklahoma operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1528204567 assigned on December 2008. The practitioner's primary taxonomy code is 207Q00000X with license number 26755 (OK). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Tamala Rochelle Mallett Moore M.d. (Owner/medical Doctor)

NPI
1528204567
Provider Name
WEATHERFORD FAMILY PRACTICE MEDICAL CENTER PLLC
Entity Type
Organization
Location Address
3739 LEGACY WEATHERFORD, OK 73096
Location Phone
(580) 772-2400
Location Fax
(580) 772-2408
Mailing Address
3739 LEGACY WEATHERFORD, OK 73096
Mailing Phone
(580) 772-2400
Mailing Fax
(580) 772-2408
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2008
Last Update Date
01-24-2011
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A primary care provider (PCP) like Weatherford Family Practice Medical Center Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
26755
License State
OK
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TAMALA ROCHELLE MALLETT MOORE M.D.

Authorized Official Title
OWNER/MEDICAL DOCTOR
Authorized Official Phone
(580) 772-2400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
OKB5382OTHER (01)OKMEDICARE PTAN
200224110AMEDICAID (05)OK 
H42755MEDICARE UPIN (02)OK 
37994OTHER (01)OKBNDD
26755OTHER (01)OKOKLAHOMA STATE MEDICAL LICENSE
P00691960OTHER (01)OKRAIL ROAD MEDICARE PTAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528204567
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548408512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 4 + 0 + 8 + 5 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1528204567 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

WEATHERFORD HOSPITAL AUTHORITY

Otolaryngology

3739 LEGACY
WEATHERFORD, OK
ZIP 73096

(580) 772-2268

WEATHERFORD HOSPITAL AUTHORITY

Obstetrics & Gynecology

3739 LEGACY
WEATHERFORD, OK
ZIP 73096

(580) 774-4770

MICHAEL CLARKE HENSLEY M.D.

Obstetrics & Gynecology

3739 LEGACY
WEATHERFORD, OK
ZIP 73096

(580) 774-4791

MISS CAMRYN ASHLEY CHITTY PA-C

Physician Assistant

3739 LEGACY
WEATHERFORD, OK
ZIP 73096

(580) 774-4791

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528204567, enumerated as an "organization" on December 22, 2008.

The provider is located at 3739 LEGACY WEATHERFORD, OK 73096 and the phone number is (580) 772-2400.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.