FAMILY MEDICINE ASSOCIATES OF EDMOND LLC (NPI# 1093940454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093940454 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE ASSOCIATES OF EDMOND LLC |
| Practice Address |
105 S Bryant Ave Ste 210 Edmond OK 73034-6331 |
| Mailing Address |
Po Box 744499 Atlanta GA 30374-4499 |
| Practice Telephone | 4053595229 |
| Practice Fax Number | 4053595214 |
| Mailing Telephone | 4052718132 |
| Mailing Fax Number | 4052715006 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | STEPHANIE JONES (DIRECTOR OF PATIENT ACCOUNTING) |
| Authorized Official Telephone | 4052717099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200249490A | 05 |
| Street Address |
105 S BRYANT AVE STE 210 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366648859 | Michael Alan Thrower | Internal Medicine | 105 S Bryant Ave Ste 210, Edmond, OK 73034-6331 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1285109876 | Housecall Providers of Oklahoma LLC | Clinic/Center | 1701 Victoria Dr, Edmond, OK 73003-3860 | 2018-10-10 |
| 1497038327 | Board of Regents of The University of Oklahoma-ou Physicians | Clinic/Center | 14101 N Eastern Avenue, Edmond, OK 73013 | 2011-09-27 |
| 1629381215 | Integrated Focus | Clinic/Center | 112 W 10th Pl, Edmond, OK 73003-5755 | 2010-07-23 |
| 1740383603 | Board of Regents of The Univ of Oklahoma-ou Phys Edmond Clinic | Clinic/Center | 105 N Bryant, Suite 305, Edmond, OK 73034 | 2006-09-06 |
| 1598195547 | Key Health Institute of Edmond, LLC | Clinic/Center | 14701 N Kelly Ave, Edmond, OK 73013-3814 | 2013-11-12 |
| 1033362231 | Edmond Podiatry Associates LLC | Clinic/Center | 105 S Bryant Ave Ste 104, Edmond, OK 73034-6361 | 2008-10-31 |
| 1699963264 | Kickingbird Family Medicine Pllc | Clinic/Center | 2820 N Kelly Ave, Suite 200, Edmond, OK 73003-3007 | 2007-10-09 |
| 1780801274 | Board of Regents of The University of Oklahoma - Ou Physicians Hope | Clinic/Center | 1251 N Broadway, Edmond, OK 73034-3616 | 2007-04-19 |
| 1821121930 | Oklahoma Christian University | Clinic/Center | 2501 E Memorial Rd, Edmond, OK 73013-5525 | 2007-03-14 |
| Find all providers in EDMOND | ||||
Please comment or provide details below to improve the information on FAMILY MEDICINE ASSOCIATES OF EDMOND LLC.
| 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.