Ardmore Family Medicine | |
908 N Rockford Rd Suite G Ardmore OK 73401-2540 | |
(580) 490-9411 | |
(580) 490-9415 |
Full Name | Ardmore Family Medicine |
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Speciality | Family Medicine |
Location | 908 N Rockford Rd, Ardmore, Oklahoma |
Authorized Official Name and Position | Valerie M Malone (SOPA CREDENTIALING MANAGER) |
Authorized Official Contact | 5802261010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ardmore Family Medicine Po Box 269044 Oklahoma City OK 73126-9044 Ph: (580) 490-9411 | Ardmore Family Medicine 908 N Rockford Rd Suite G Ardmore OK 73401-2540 Ph: (580) 490-9411 |
NPI Number | 1184933467 |
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Provider Enumeration Date | 10/04/2010 |
Last Update Date | 11/20/2014 |
Medicare PECOS PAC ID | 4688856180 |
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Medicare Enrollment ID | O20110304000156 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184933467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4120 (Oklahoma) | Primary |
2083X0100X | Preventive Medicine - Occupational Medicine | 4120 (Oklahoma) | Secondary |
Provider Name | Steven K Watkins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053377937 PECOS PAC ID: 1456392679 Enrollment ID: I20051205000625 |
Mercy Health Services-southern Region, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 15th Ave Nw, Ardmore, OK 73401 Phone: 580-223-3737 Fax: 580-226-5679 | |
Wilson Loughridge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 15th Ave Nw, Ardmore, OK 73401 Phone: 580-226-1010 Fax: 580-226-1011 | |
Alexander P Gurrola Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-6500 Fax: 580-226-6524 | |
Texoma Collaborative Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 15th Ave Nw, Ardmore, OK 73401 Phone: 580-798-5015 | |
Schafer Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Isabel St, Ardmore, OK 73401 Phone: 580-223-5432 Fax: 580-223-6076 | |
Dot Ardmore Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 S Commerce St, Ardmore, OK 73401 Phone: 580-490-9414 Fax: 580-490-9067 | |
Doctors Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Isabel, Ardmore, OK 73401 Phone: 580-223-5432 |