PRIMARY CARE ASSOCIATES PC (NPI# 1275528630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275528630 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE ASSOCIATES PC |
| Practice Address |
4150 Se Adams Rd Bartlesville OK 74006-8410 |
| Practice Telephone | 9183319979 |
| Practice Fax Number | 9183312346 |
| Mailing Telephone | 9183319979 |
| Mailing Fax Number | 9183312346 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | MAUREEN DANIEL (OPERATIONS MANAGER) |
| Authorized Official Telephone | 9183312330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100747860A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3450 Se Frank Phillips Blvd, Bartlesville, OK 74006 | 9183319979 | 9183312346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619914439 | Primary Care Associates PC | Clinic/Center | 1935 W Main St, Salem, VA 24153-3109 | 2006-06-01 |
| 1801892609 | Primary Care Associates PC | Family Medicine | 413 Devonia St, Harriman, TN 37748-2010 | 2005-06-27 |
| Street Address |
4150 SE ADAMS RD |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-8410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417515 | William W Davito | Family Medicine | 4150 Se Adams Rd, Bartlesville, OK 74104-8410 | 2005-09-13 |
| 1437381639 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 | 2009-08-20 |
| 1972768919 | Daniel J Holdman | Family Medicine | 4150 Se Adams Rd, Bartlesville, OK 74006 | 2008-07-18 |
| 1770546640 | Mark D Erhardt | Family Medicine | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 | 2006-04-10 |
| 1033104492 | Elizabeth R Sherrock | Family Medicine | 4150 Se Adams Rd, Bartlesville, OK 74104-8410 | 2005-09-13 |
| 1942295308 | Michael Ryan Vaclaw | Family Medicine | 4150 Se Adams Rd, Bartlesville, OK 74104-8410 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| 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 |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1417412461 | Men's Vascular Performance Clinic, LLC | Family Medicine | 2431 Se Washington Blvd Ste B, Bartlesville, OK 74006-7259 | 2019-02-04 |
| 1700222189 | Gregory Hightower | Family Medicine | 3400 E Frank Phillips Blvd Ste 500, Bartlesville, OK 74006-2441 | 2013-05-13 |
| 1801199658 | Cottonwood Family Practice Pllc | Family Medicine | 615 Sw Jennings Ave, Box 2466, Bartlesville, OK 74005-6602 | 2010-12-17 |
| 1467621813 | James Robert Taylor | Family Medicine | 24481 N 3990 Rd, Bartlesville, OK 74006-0256 | 2008-02-29 |
| 1316952112 | Pic Bartlesville, Pllc | Family Medicine | 2334 Se Washington Blvd Ste B&d, Pic Bartlesville Pllc, Bartlesville, OK 74006-7256 | 2006-07-30 |
| 1508884313 | Matthew L West | Family Medicine | 3450 E Frank Phillips Blvd, Suite 400, Bartlesville, OK 74006-2406 | 2006-07-18 |
| 1164417515 | William W Davito | Family Medicine | 4150 Se Adams Rd, Bartlesville, OK 74104-8410 | 2005-09-13 |
| 1730171679 | William L Fesler | Family Medicine | 3400 E Frank Phillips Blvd Ste 300, Bartlesville, OK 74006-2439 | 2005-08-17 |
| 1376535294 | Gerald F Pribil | Family Medicine | 3450 E Frank Phillips Blvd Ste 300, Bartlesville, OK 74006-2401 | 2005-08-17 |
| Find all providers in BARTLESVILLE | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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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.