| Michelin Family Heatlh Center-ardmore | |
|
1105 Michelin Rd Ardmore OK 73401-1085 | |
| (580) 224-8750 | |
| (580) 224-8751 |
| Full Name | Michelin Family Heatlh Center-ardmore |
|---|---|
| Speciality | Clinic/Center |
| Location | 1105 Michelin Rd, Ardmore, Oklahoma |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelin Family Heatlh Center-ardmore 5500 Maryland Way Brentwood TN 37027-4948 Ph: (580) 224-8750 | Michelin Family Heatlh Center-ardmore 1105 Michelin Rd Ardmore OK 73401-1085 Ph: (580) 224-8750 |
| NPI Number | 1740540327 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 4587619697 |
|---|---|
| Medicare Enrollment ID | O20050322000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740540327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Steven Earl Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457327470 PECOS PAC ID: 0143366013 Enrollment ID: I20091006000695 |
| Provider Name | Angela Drumb Dunlevy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194980375 PECOS PAC ID: 2365618261 Enrollment ID: I20111227000165 |
| Provider Name | Adaobi Adibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558746651 PECOS PAC ID: 6204133184 Enrollment ID: I20160322000488 |
| Provider Name | Suzanne Tuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619324423 PECOS PAC ID: 9830483403 Enrollment ID: I20180621000507 |
| Provider Name | Kasey Lee Choate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952819195 PECOS PAC ID: 9739576042 Enrollment ID: I20220504002530 |
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 | |
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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 | |
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