| Triad Pediatrics Llc | |
|
117 Patton Dr Ponca City OK 74601-2030 | |
| (580) 382-9465 | |
| Not Available |
| Full Name | Triad Pediatrics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 117 Patton Dr, Ponca City, Oklahoma |
| Authorized Official Name and Position | Matt Bintz (CEO/OWNER) |
| Authorized Official Contact | 5807653055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Pediatrics Llc 2703 N 14th Street Ponca City OK 74601 Ph: (580) 765-9451 | Triad Pediatrics Llc 117 Patton Dr Ponca City OK 74601-2030 Ph: (580) 382-9465 |
| NPI Number | 1477290591 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 2668856477 |
|---|---|
| Medicare Enrollment ID | O20220829000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477290591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark A Oatman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814449 PECOS PAC ID: 2668550492 Enrollment ID: I20080421000100 |
| Provider Name | Megan A Lawver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407180 PECOS PAC ID: 5698997138 Enrollment ID: I20141117001397 |
Mark Oatman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N 3rd St, Ponca City, OK 74601 Phone: 580-762-1777 Fax: 580-762-1771 | |
Dsk Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Fairview Ave, Building 3, Ste. 20, Ponca City, OK 74601 Phone: 580-765-6647 Fax: 580-765-6699 | |
Bruce Baugher D.o., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 N 14th St, Suite 207, Ponca City, OK 74601 Phone: 580-763-5900 Fax: 580-763-5901 | |
Urgent Care And Family Practice Center Of Ponca City Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 N 5th St, Ponca City, OK 74601 Phone: 580-762-9292 Fax: 580-762-1660 | |
Lsi Clinics (lsi Foot, Shoe, Wound Or Orthotics) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 N 14th St, Ponca City, OK 74604 Phone: 580-718-0002 Fax: 580-718-0003 | |
Bradley Bibb Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-1911 Fax: 580-762-0887 | |
John W. Holden, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 427 Fairview Ave, Ponca City, OK 74601 Phone: 580-765-9299 Fax: 580-765-2199 |