OrganizationActive
Main Street Family Clinic LLC
NPI 1275326191 · Family Medicine Physician · Canton, OK
Provider details
- NPI number
- 1275326191
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Beth Holderby, Owner(580) 551-9131
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213 W Main St
Canton, OK 73724-1234
Phone: (405) 506-9101
Fax: (405) 936-0561
Street-level locationGet directions
Mailing address
Po Box 57390
Oklahoma City, OK 73157-7390
Registry dates
- Enumerated
- 2025-05-23
- Last updated
- 2025-07-09
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.