Provider Demographics
NPI:1144882325
Name:FOCUSED ADULT LLC
Entity type:Organization
Organization Name:FOCUSED ADULT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-608-8808
Mailing Address - Street 1:5900 MOSTELLER DR UNIT 3
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4640
Mailing Address - Country:US
Mailing Address - Phone:405-608-8808
Mailing Address - Fax:405-652-7721
Practice Address - Street 1:5900 MOSTELLER DR UNIT 3
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4640
Practice Address - Country:US
Practice Address - Phone:405-608-8808
Practice Address - Fax:405-608-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center