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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: July 19, 2026.

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

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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 primary care in Pawnee, Oklahoma and active in the NPI registry since May 2018. The organization lists Niko Koliastasis, Ceo, as its authorized official.Information from the official NPPES registry record, last updated January 8, 2020.

NPPES Registry Identity

NPI1952890337
Entity TypeOrganization
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, 2020
✔ NPI 1952890337 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Clinic/Center · Primary Care

Taxonomy 261QP2300X · Ambulatory Health Care Facilities

557 HARRISON ST, Pawnee, OK 74058
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Last updated in NPPES on January 8, 2020 · 2 updates tracked since enumeration.

Reviews for PHOENIX PRIMARY CARE, LLC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

What is PHOENIX PRIMARY CARE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1952890337, enumerated as an "organization" on May 01, 2018.

Where is the provider located?

The provider is located at 557 HARRISON ST PAWNEE, OK 74058 and the phone number is (918) 762-5050.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.