| Today Clinic South Okc Llc | |
|
1317 Se 44th St Ste I Oklahoma City OK 73129-6907 | |
| (405) 631-0611 | |
| Not Available |
| Full Name | Today Clinic South Okc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1317 Se 44th St Ste I, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Brett Cauthen (MEMBER) |
| Authorized Official Contact | 4056310611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Today Clinic South Okc Llc 701 Ne 36th St Oklahoma City OK 73105-7203 Ph: () - | Today Clinic South Okc Llc 1317 Se 44th St Ste I Oklahoma City OK 73129-6907 Ph: (405) 631-0611 |
| NPI Number | 1871068239 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 10/11/2018 |
| Medicare PECOS PAC ID | 1759624364 |
|---|---|
| Medicare Enrollment ID | O20190523000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871068239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robert Luther Swicord |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1417120023 PECOS PAC ID: 8628264173 Enrollment ID: I20101123000060 |
| Provider Name | Richard Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811127269 PECOS PAC ID: 2365624798 Enrollment ID: I20110307000721 |
| Provider Name | Rebecca Kaye Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144771700 PECOS PAC ID: 5092098434 Enrollment ID: I20170210000249 |
| Provider Name | Michael Zinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023567989 PECOS PAC ID: 6901171040 Enrollment ID: I20170929000531 |
| Provider Name | Peter Louis Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700352317 PECOS PAC ID: 3476892175 Enrollment ID: I20190225000832 |
| Provider Name | Aurora Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887620 PECOS PAC ID: 4688909914 Enrollment ID: I20190709002559 |
| Provider Name | Stanley Eugene Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780141747 PECOS PAC ID: 6204262249 Enrollment ID: I20200211000525 |
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