| Mcmahan Family Medicine | |
|
7006 Broadway Ext Oklahoma City OK 73116-9006 | |
| (405) 916-4545 | |
| Not Available |
| Full Name | Mcmahan Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 7006 Broadway Ext, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Michael Z Mcmahan (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4057602018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmahan Family Medicine Po Box 31412 Edmond OK 73003-0024 Ph: (405) 916-4545 | Mcmahan Family Medicine 7006 Broadway Ext Oklahoma City OK 73116-9006 Ph: (405) 916-4545 |
| NPI Number | 1679739155 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 9436218948 |
|---|---|
| Medicare Enrollment ID | O20081112000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679739155 | NPI | - | NPPES |
| 200205260A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24591 (Oklahoma) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
| Provider Name | Michael Zann Mcmahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710064209 PECOS PAC ID: 4789786583 Enrollment ID: I20070226000410 |
| Provider Name | Laura M Foshee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013295492 PECOS PAC ID: 4880865211 Enrollment ID: I20110915000522 |
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