| Noble Family Medicine Llc | |
|
408 N Main St Noble OK 73068-9574 | |
| (405) 677-3378 | |
| Not Available |
| Full Name | Noble Family Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 408 N Main St, Noble, Oklahoma |
| Authorized Official Name and Position | Scott Mayer (CEO) |
| Authorized Official Contact | 7202195856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noble Family Medicine Llc 3916 S Sunnylane Rd Del City OK 73115-3656 Ph: () - | Noble Family Medicine Llc 408 N Main St Noble OK 73068-9574 Ph: (405) 677-3378 |
| NPI Number | 1467177857 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 1759755697 |
|---|---|
| Medicare Enrollment ID | O20230316001114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467177857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Braden Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245762020 PECOS PAC ID: 0941587430 Enrollment ID: I20170510002622 |
| Provider Name | Stanley Eugene Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780141747 PECOS PAC ID: 6204262249 Enrollment ID: I20200211000525 |
Noble Family Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S. Main, Noble, OK 73068 Phone: 405-872-5403 Fax: 405-872-5407 | |
Noble Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Maguire Rd, Ste 4000, Noble, OK 73068 Phone: 405-872-9494 Fax: 405-872-9464 |