Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EDWARD TIMOTHY OKELLEY MD PC
Active
Organization
EDWARD TIMOTHY OKELLEY MD PC
Active
Other names
PalliCare
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN FLUHART (CEO)
(972) 632-9642
Entity
Organization
Contact information
Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(888) 725-5422
(903) 501-1100
Mailing address
5803 STONERIDGE DR, TEXARKANA, TX 75503-1461
(972) 632-9642
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
NULL
207Q00000X
Family Medicine Physician
—
NULL
363A00000X
Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
NULL
363L00000X
Nurse Practitioner
Primary
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LC0200X
Critical Care Medicine Nurse Practitioner
—
NULL
363LC1500X
Community Health Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EG0567
RAILROAD MEDICARE
NY
Enumeration date
02/15/2023
Last updated
09/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers