DR. MATTHEW SCOTT HAMM (NPI# 1083058168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083058168 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SCOTT HAMM |
| Credential | M.D. |
| Practice Address |
16205 N Pennsylvania Ave Edmond OK 73013-7325 |
| Mailing Address |
72d Medical Group/sghq 7050 Air Depot Blvd. Tinker Afb OK 73145 |
| Practice Telephone | 4057055700 |
| Mailing Telephone | 4055826052 |
| Mailing Fax Number | 4057363860 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
28241 | NE | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 35728 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 72d Medical Group/sghq, 7050 Air Depot Blvd., Tinker Afb, OK 73145 | 4055826052 | 4057363860 |
| Street Address |
16205 N PENNSYLVANIA AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-7325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528023066 | Jean Felix Cyriaque | Family Medicine | 16205 N Pennsylvania Ave, Edmond, OK 73013-7325 | 2006-04-18 |
| 1104056365 | Medical Resource Management, LLC | Family Medicine | 16205 N Pennsylvania Ave, Edmond, OK 73013-7325 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154755619 | David Parker West | General Practice | 404 Steve Douglas Dr, Edmond, OK 73034-4756 | 2013-09-02 |
| 1922356310 | Dynamic Medical Solutions | General Practice | 3500 S Boulevard Bldg B, Suite 18b, Edmond, OK 73013-5486 | 2012-08-16 |
| 1821275652 | Elizabeth Lovely Greenhaw | General Practice | 2404 Red Elm Ct, Edmond, OK 73013-5612 | 2008-01-23 |
| 1710942537 | Trey Milligan | General Practice | 13801 N Western Ave, Suite D, Edmond, OK 73013-1797 | 2006-04-18 |
| 1578714721 | Heartland Pathology Consultants, PCs | General Practice | 3509 French Park Dr, Suite D, Edmond, OK 73034-7296 | 2008-10-07 |
| 1164681458 | Delmar Gheen Md | General Practice | 2000 E 15th St, Building 150 Suite C, Edmond, OK 73013-6697 | 2008-06-03 |
| 1619099926 | W Gregory Morgan IIi Md PC | General Practice | 1705 Renaissance Blvd, Suite 100, Edmond, OK 73013-3041 | 2007-04-06 |
| 1710052865 | Vicki Joyce Conrad | General Practice | 1616 S Boulevard St, Suite B, Edmond, OK 73013-5155 | 2006-11-22 |
| 1750395448 | Advance Physicians Group | General Practice | 1705 Renaissance Blvd, Suite 100, Edmond, OK 73013-3041 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565433 | Robinson Medical Clinic West, LLC | General Practice | 1900 W 2nd St Ste D, Elk City, OK 73644-4328 | 2020-07-15 |
| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1801431135 | Cristina Elisa Collazo-suarez | General Practice | 401 Nw 76th St, Lawton, OK 73505-5338 | 2019-11-11 |
| 1578117859 | Tulsa Wellness Management, LLC | General Practice | 3501 S Yale Ave Ste A, Tulsa, OK 74135-8014 | 2019-07-25 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1902396294 | Gail Renee Marchant | General Practice | 8784 E 105th Ct, Tulsa, OK 74133-7063 | 2018-05-13 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1992214548 | Lifestyle Medical Center, Pllc | General Practice | 4505 S Harvard Ave, Tulsa, OK 74135-2905 | 2017-09-27 |
| 1265884449 | Turning Point Health LLC | General Practice | 736 W Main St, Jenks, OK 74037-3519 | 2016-07-12 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
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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.