TRIAD HEALTH SYSTEMS LLC (NPI# 1245867258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245867258 |
| Entity Type | Organization |
| Organization Name | TRIAD HEALTH SYSTEMS LLC |
| Other Organization Name | TRIAD COMPLETE HEALTHCARE |
| Practice Address |
2703 N 14th St Ponca City OK 74601 |
| Practice Telephone | 5807659451 |
| Mailing Telephone | 5807659451 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | AMY BEVERLEY (BILLING MANAGER) |
| Authorized Official Telephone | 5807659451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TRIAD COMPLETE HEALTHCARE | Doing Business As Name - Organization |
| Street Address |
2703 N 14TH ST |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| 1487976304 | Ee Rad Ok, LLC | Radiology | 1900 N. 4th Street, Ponca City, OK 74601 | 2010-02-19 |
| Find all providers in zip 74601 | ||||
| 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 |
|---|---|---|---|---|
| 1649370032 | Rhonda Jean Green | Family Medicine | 415 Fairview Ave Ste 201, Ponca City, OK 74601-1932 | 2006-09-25 |
| 1831204759 | Physicians Urgent Care Center, Inc. | Family Medicine | 1201 E. Hartford Ave, Ponca City, OK 74601-2018 | 2006-08-20 |
| 1871561696 | Jan Russell Hill | Family Medicine | 1715 N 5th St, Ponca City, OK 74601-2763 | 2006-03-09 |
| 1205814449 | Mark A Oatman | Family Medicine | 154 S Mccord Rd, Ponca City, OK 74604-5885 | 2006-01-06 |
| 1104818368 | Karen S Adams | Family Medicine | 421 E Hartford Ave, Ponca City, OK 74601-1512 | 2005-08-15 |
| 1437678562 | Monica Dawn Leach | Family Medicine | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2017-09-09 |
| 1710229836 | Premier Physical Medicine LLC | Family Medicine | 3011 N Union St, Ponca City, OK 74601-7400 | 2013-03-27 |
| 1710206313 | Candy Lee Sconyers Lindsey | Family Medicine | 415 Fairview Ave, Suite 201, Ponca City, OK 74601-1929 | 2010-05-20 |
| 1518195221 | Aaron Paul Wilcox | Family Medicine | 415 Fairview Ave Ste 201, Ponca City, OK 74601-1932 | 2009-07-01 |
| 1780848168 | Elliott Hampton Howe | Family Medicine | 200 White Eagle Dr, Ponca City, OK 74601 | 2008-07-15 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on TRIAD HEALTH SYSTEMS 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.