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PHOENIX PRIMARY CARE, LLC
NPI 1952890337
Clinic/Center - Primary Care in Pawnee, OK

Active since May 01, 2018
557 HARRISON ST, PAWNEE, OK 74058(918) 762-5050(877) 515-8550 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2020, May 1, 2018 (2 updates tracked since 2018).

About Phoenix Primary Care, Llc NPPES

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

PHOENIX PRIMARY CARE, LLC (NPI 1952890337) is a healthcare organization registered as a primary care in Pawnee, Oklahoma and active in the NPI registry since May 2018. The organization lists Niko Koliastasis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952890337
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePHOENIX PRIMARY CARE, LLC
Location Address557 HARRISON STPawnee, OK 74058-2566
Mailing Address209 N Oak StSallisaw, OK 74955-4639 · (918) 503-6276 · Fax (918) 503-6294
Phone(918) 762-5050
Fax(877) 515-8550
Organization SubpartNo
Authorized OfficialNiko KoliastasisCeo · (918) 636-3930
Enumeration DateMay 1, 2018
Last NPPES UpdateJanuary 8, 20202 updates tracked since enumeration
✔ NPI 1952890337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
557 HARRISON ST, Pawnee, OK 74058
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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.

PHOENIX MEDICAL CENTER
Family Medicine
557 HARRISON ST
PAWNEE, OK 74058
Pawnee County (918) 762-5050
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

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 Primary Care, LLC's NPI number?

The NPI number for Phoenix Primary Care, LLC is 1952890337. It was assigned to this organization in the NPPES registry on May 1, 2018.

Where is Phoenix Primary Care, LLC located?

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

What is Phoenix Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Phoenix Primary Care, LLC was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.