| Total Wellness | |
|
5500 N Western Ave Suite 212 Oklahoma City OK 73118-4019 | |
| (405) 810-8677 | |
| (405) 810-8682 |
| Full Name | Total Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 5500 N Western Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Mike P Okeefe (CO-OWNER) |
| Authorized Official Contact | 4058108677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wellness 5500 N Western Avenue Suite 212 Oklahoma City OK 73118-4012 Ph: (405) 810-8677 | Total Wellness 5500 N Western Ave Suite 212 Oklahoma City OK 73118-4019 Ph: (405) 810-8677 |
| NPI Number | 1841616828 |
|---|---|
| Provider Enumeration Date | 03/13/2014 |
| Last Update Date | 03/13/2014 |
| Medicare PECOS PAC ID | 4587986005 |
|---|---|
| Medicare Enrollment ID | O20141211000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841616828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Primary |
| Provider Name | Joseph C. Broome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306817887 PECOS PAC ID: 1658308010 Enrollment ID: I20050718001028 |
| Provider Name | Kimberly Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396172102 PECOS PAC ID: 8022333475 Enrollment ID: I20150206001293 |
| Provider Name | Chelsea N Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336547363 PECOS PAC ID: 9638496870 Enrollment ID: I20150326001378 |
| Provider Name | Amber L Surz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619524683 PECOS PAC ID: 1456683564 Enrollment ID: I20191022003254 |
| Provider Name | Ashley Grados |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720662752 PECOS PAC ID: 1658779210 Enrollment ID: I20211012001682 |
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