| Oklahoma City Clinic, Pc | |
|
1720 Ne 23rd St Oklahoma City OK 73111-3324 | |
| (405) 280-5550 | |
| (405) 280-5780 |
| Full Name | Oklahoma City Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1720 Ne 23rd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Barbara Chilton (MANAGER) |
| Authorized Official Contact | 4052805634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma City Clinic, Pc Po Box 659506 Section 4142 San Antonio TX 78265 Ph: (405) 280-5634 | Oklahoma City Clinic, Pc 1720 Ne 23rd St Oklahoma City OK 73111-3324 Ph: (405) 280-5550 |
| NPI Number | 1376585034 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 11/03/2020 |
| Medicare PECOS PAC ID | 5799697355 |
|---|---|
| Medicare Enrollment ID | O20031103000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376585034 | NPI | - | NPPES |
| 100728970A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Douglas W Holte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558332676 PECOS PAC ID: 0345345898 Enrollment ID: I20070412000221 |
| Provider Name | Kyle T Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164603262 PECOS PAC ID: 9133206485 Enrollment ID: I20080410000413 |
| Provider Name | Rickie Conrady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316913510 PECOS PAC ID: 1658440441 Enrollment ID: I20100427000726 |
| Provider Name | Charles W Lunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477529535 PECOS PAC ID: 8820167612 Enrollment ID: I20100503000169 |
| Provider Name | Wesley M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205802105 PECOS PAC ID: 8921177718 Enrollment ID: I20100505001035 |
| Provider Name | David Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851367999 PECOS PAC ID: 5294804084 Enrollment ID: I20100505001086 |
| Provider Name | Briana A Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265800924 PECOS PAC ID: 6507163938 Enrollment ID: I20160329002374 |
| Provider Name | Cheryl A Feken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679008809 PECOS PAC ID: 0840556239 Enrollment ID: I20171120000134 |
| Provider Name | Mariah Jessica Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124796610 PECOS PAC ID: 8224429857 Enrollment ID: I20211215001883 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |