# NORTH SIDE INTERNAL MEDICINE PLLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497743181
- **Authorized official:** DR. JON CHRISTOPHER LIPRIE MD (MANAGING MEMBER)
- **Authorized official phone:** (405) 749-1484

## Contact information

- **Practice address:** 6957 NW EXPRESSWAY, SUITE \#301, OKLAHOMA CITY, OK 73132-3533
- **Practice address phone:** (405) 749-1484
- **Practice address fax:** (405) 749-1484
- **Mailing address:** 6957 NW EXPRESSWAY, SUITE \#301, OKLAHOMA CITY, OK 73132-3533
- **Mailing address phone:** (405) 749-1484
- **Mailing address fax:** (405) 749-1484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 18076 | OK | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 08/22/2020