UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED (NPI# 1083626246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083626246 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED |
| Other Organization Name | ENID FAMILY MEDICINE |
| Practice Address |
620 S Madison St Suite 304 Enid OK 73701-7273 |
| Practice Telephone | 5802421300 |
| Practice Fax Number | 5802377913 |
| Mailing Telephone | 5802421300 |
| Mailing Fax Number | 5802377913 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-10-16 |
| Authorized Official Name | DR. JAMES MICHAEL PONTIOUS (PROFESSOR DIRECTOR) |
| Authorized Official Telephone | 5802421300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 261QM2500X | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | DR. PONTIOUS NPI # | 1457398141 | 01 |
| OK | DR. MARGO SHORT NPI # | 1164478590 | 01 |
| Other Name | Type Code |
|---|---|
| Enid Family Medicine | Doing Business As Name - Organization |
| Street Address |
620 S MADISON ST SUITE 304 |
| City | ENID |
| State | OK |
| Zip Code | 73701-7273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087869 | Daniel E Oathout | Obstetrics & Gynecology | 620 S Madison St, Suite 301, Enid, OK 73701-7270 | 2005-07-20 |
| 1740880483 | Integris Bass Baptist Health Center | Clinic/Center | 620 S Madison St, Stes 107, 209 & 301, Enid, OK 73701-7273 | 2020-10-30 |
| 1205232683 | Osu Center for Health Sciences | Clinic/Center | 620 S Madison St, Suite 105, Enid, OK 73701-7273 | 2014-11-12 |
| 1407266026 | Facial Surgery Center Pllc | Dentist | 620 S Madison St, 302, Enid, OK 73701-7273 | 2014-05-05 |
| 1912347618 | Yasir Usman | Internal Medicine | 620 S Madison St, Enid, OK 73701-7273 | 2013-06-27 |
| 1003050410 | Integris Bass Baptist Health Center | Family Medicine | 620 S Madison St, Suite 209, Enid, OK 73701-7273 | 2009-04-29 |
| 1851586721 | Keelie Renee Tucker | Obstetrics & Gynecology | 620 S Madison St, Suite 203, Enid, OK 73701-7273 | 2007-09-12 |
| 1770692360 | Adhikari M Reddy | Psychiatry & Neurology | 620 S Madison St, Suite 101, Enid, OK 73701-7273 | 2006-08-29 |
| 1194735407 | Bruce D Pendleton | Neurological Surgery | 620 S Madison St, Suite 202, Enid, OK 73701-7273 | 2006-08-09 |
| 1053355073 | Brian D. Whitson | Internal Medicine | 620 S Madison St, Suite 209, Enid, OK 73701-7273 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952627069 | Jon Randall Mills Jr. | Family Medicine | 620 S Madison St Ste 203, Enid, OK 73701-7270 | 2010-04-14 |
| 1376746925 | Dustin Lee Baylor | Family Medicine | 2821 N Van Buren, Suite B, Enid, OK 73701-7273 | 2007-06-08 |
| 1639224264 | Jami Luann Benton | Family Medicine | 915 E Garriott Rd Ste B, Enid, OK 73701-6153 | 2007-01-24 |
| 1013006394 | David Matousek | Family Medicine | 330 S 5th St Ste 302, Enid, OK 73701-5862 | 2006-10-12 |
| 1609965136 | Richard Rivers | Family Medicine | 3517 W Owen K Garriott Rd Ste 4, Enid, OK 73703-4953 | 2006-10-12 |
| 1659394765 | Dwayne Lee Janzen | Family Medicine | 915 E Garriott Rd Ste A, Enid, OK 73701-6153 | 2006-07-26 |
| 1144261546 | Seth H. Switzer | Family Medicine | 302 N Independence St Ste 700, Enid, OK 73701-4046 | 2006-06-09 |
| 1043200793 | David Barnard | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2005-10-25 |
| 1295735355 | Jeffrey R Jones | Family Medicine | 2821 N Van Buren St Ste B, Enid, OK 73703-1729 | 2005-07-29 |
| 1144830506 | Primed Healthcare LLC | Family Medicine | 822 W Randolph Ave, Enid, OK 73701-3834 | 2020-07-31 |
| Find all providers in ENID | ||||
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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.