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Phoenix Primary Care, LLC

Primary Care Clinic/Center in Pawnee, OK · enumerated 2018 · authorized official Niko Koliastasis, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952890337

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Primary Care, LLC
Practice address 557 Harrison St, Pawnee, OK, 74058
Phone (918) 762-5050
Fax (877) 515-8550
Enumeration date May 1, 2018
Last updated in NPPES Jan 8, 2020

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Niko Koliastasis
Title Ceo
Phone (918) 636-3930

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.

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Frequently asked questions

What type of organization is Phoenix Primary Care, LLC?
Phoenix Primary Care, LLC is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-08.