Phoenix Primary Care, LLC
Phoenix Primary Care, LLC is a healthcare organization registered as Primary Care Clinic/Center in Pawnee, OK, holding Type 2 (organization) NPI 1952890337 since 2018. The authorized official on file is Niko Koliastasis, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1952890337 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Phoenix Primary Care, LLC |
| Practice address | 557 HARRISON ST, Pawnee, OK, 74058 |
| Phone | 9187625050 |
| Fax | 8775158550 |
| Enumeration date | 2018-05-01 |
| Last updated in NPPES | 2020-01-08 |
Authorized official
| Name | Niko Koliastasis |
|---|---|
| Title | Ceo |
| Phone | 9186363930 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Phoenix Primary Care, LLC NPI: 1952890337 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 557 HARRISON ST, Pawnee, OK, 74058
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548293665 | William Clymer | Individual | Family Medicine Physician | Pawnee, OK |
| 1205208535 | Phoenix Medical Center | Organization | Family Medicine Physician | Pawnee, OK |
| 1235666314 | Assoc Holdings LLC | Organization | Family Medicine Physician | Pawnee, OK |
Verify this record
Cross-check NPI 1952890337 against the authoritative CMS record: view Phoenix Primary Care, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Phoenix Primary Care, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-01-08.