KDF/MPK, INC (NPI# 1043514151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043514151 |
| Entity Type | Organization |
| Organization Name | KDF/MPK, INC |
| Other Organization Name | BROOKHAVEN CLINIC |
| Practice Address |
2400 Palmer Cir Norman OK 73069-6301 |
| Practice Telephone | 4053102484 |
| Practice Fax Number | 4053102482 |
| Mailing Telephone | 4053102484 |
| Mailing Fax Number | 4053102482 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | DR. KIM D FLOYD (OWNER) |
| Authorized Official Telephone | 4053102484 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2693 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Brookhaven Clinic | Doing Business As Name - Organization |
| Street Address |
2400 PALMER CIR |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675975 | Jim D Davis | Emergency Medicine | 2400 Palmer Cir, Norman, OK 73069-6301 | 2005-11-04 |
| 1033145370 | Westport Family Medicine, Pllc | Family Medicine | 2400 Palmer Cir, Norman, OK 73069-6301 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588086490 | Bruce Kevin Remy | General Practice | 1828 Cedar Hill Rd, Norman, OK 73072-3153 | 2014-01-11 |
| 1255529871 | Harold H Haralson II Md Inc | General Practice | 516 Avon Dr, Norman, OK 73072-3850 | 2007-10-09 |
| 1699961599 | Zoilo Venturina Marcelo | General Practice | 1829 Cedar Hill Rd, Norman, OK 73072-3161 | 2007-09-24 |
| 1972907178 | State of Oklahoma | General Practice | 900 E Main St, Norman, OK 73071-5305 | 2014-10-17 |
| 1417258989 | J.v. Simmering M.d. Inc. | General Practice | 1300 Mcgee Dr, Suite 101, Norman, OK 73072-5774 | 2010-11-15 |
| 1316271836 | Kyle R Judkins | General Practice | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2009-09-30 |
| 1831342906 | Elliott Medical Services, Inc | General Practice | 122 E Eufaula St, Norman, OK 73069-6017 | 2008-11-02 |
| 1548471048 | Vytautas Ringus | General Practice | 825 E Robinson St, Norman, OK 73071-6610 | 2007-05-25 |
| 1629292016 | Kenneth R Watson Do PC | General Practice | 2121 W Main St, Norman, OK 73069-6459 | 2007-04-13 |
| 1447233184 | Christopher Edge | General Practice | 500 E Robinson St, Suite 300, Norman, OK 73071-6697 | 2005-11-28 |
| Find all providers in NORMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.