Provider Demographics
NPI:1518559368
Name:SIMPSON AND MCCRORY
Entity Type:Organization
Organization Name:SIMPSON AND MCCRORY
Other - Org Name:SHAWNEE FAMILY MEDICINE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER-PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:MCCRORY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-395-4441
Mailing Address - Street 1:2400 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-3133
Mailing Address - Country:US
Mailing Address - Phone:405-395-4441
Mailing Address - Fax:405-438-0540
Practice Address - Street 1:2400 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-3133
Practice Address - Country:US
Practice Address - Phone:405-395-4441
Practice Address - Fax:405-438-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty