PHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA, LLC


Address: 825 Ne 10th St, Oklahoma City, OK 73104-5417
Phone: 8888298550

PHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA, LLC (NPI# 1366892424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366892424
Entity Type Organization
Organization Name PHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA, LLC
Practice Address 825 Ne 10th St
Oklahoma City
OK 73104-5417
Mailing Address 3113 Lawton Rd Ste 250
Orlando
FL 32803-3517
Practice Telephone 8888298550
Enumeration Date 2016-06-20
Last Update Date 2016-06-20
Authorized Official Name CASEY DELOACH (PRESIDENT)
Authorized Official Telephone 8888298550
Is Organization Subpart Y
Parent Organization Name VAXCARE CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 825 NE 10TH ST
City OKLAHOMA CITY
State OK
Zip Code 73104-5417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629071543 Sheila Algan Orthopaedic Surgery 825 Ne 10th St, Oupb1300, Oklahoma City, OK 73104-5417 2005-05-24
1356865414 Elisabeth Ann Okroi Nurse Practitioner 825 Ne 10th St, Oklahoma City, OK 73104-5417 2017-07-31
1669900825 Ashley Lynn Greenwood Student in an Organized Health Care Education/Training Program 825 Ne 10th St, Oklahoma City, OK 73104-5417 2017-05-31
1588102305 Tonya Lynette Gollahalli Physician Assistant 825 Ne 10th St, Oupb 4e, Oklahoma City, OK 73104-5417 2017-02-01
1003362658 Brandi Dickey Registered Nurse 825 Ne 10th St, Suite 2b, Oklahoma City, OK 73104-5417 2016-09-01
1588029383 Gina Nicole Maloney Physician Assistant 825 Ne 10th St, Suite 4200, Oklahoma City, OK 73104-5417 2015-12-21
1184049975 Oklahoma Sleep Institute Clinic - Up Durable Medical Equipment & Medical Supplies 825 Ne 10th St, # 4b, Oklahoma City, OK 73104-5417 2014-03-03
1508205204 Catiele Antunes Internal Medicine 825 Ne 10th St, Oklahoma City, OK 73104-5417 2013-06-17
1134465081 Taryn Smith Physician Assistant 825 Ne 10th St, Ste 5400, Oklahoma City, OK 73104-5417 2012-12-21
1972861698 Faren Tohm Audiologist 825 Ne 10th St, Suite 4200, Oklahoma City, OK 73104-5417 2012-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356979645 Kayla Campbell Dietitian, Registered Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 2020-03-31
1447715453 Roman Michael Garcia Dentist Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 2019-02-04
1265902340 Jenna Lyn Celii Registered Nurse 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 2018-11-30
1407337462 Opus Medical, LLC Psychiatry & Neurology 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 2018-08-27
1316433295 Syed Muhammad Shakaib Quadri Pathology 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 2018-07-03
1447746417 Nimrah Bader Internal Medicine 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 2018-07-02
1417440793 Helen Judith Turkson Apetor Nurse Practitioner 700 Ne 13th, Oklahoma City, OK 73104 2018-06-11
1003307935 Mary Katlin Nixon Obstetrics & Gynecology 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 2018-05-26
1558851220 Bryce Yohannan Student in an Organized Health Care Education/Training Program 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 2018-05-17
1346746690 Kacy Anne Richburg Orthopaedic Surgery 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 2018-04-04
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164039632 Axiom Medical Solutions, LLC Family Medicine 14132 Se 134th St, Oklahoma City, OK 73165-7669 2020-09-28
1104437219 L and M Investments LLC Family Medicine 6001 Nw 139th St, Oklahoma City, OK 73142-1919 2020-08-12
1235748617 Brook Noel Leland Family Medicine 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 2020-07-30
1043835176 Thomas Patrick Owens IIi Family Medicine 900 Ne 10th Street, Oklahoma City, OK 73104-5420 2020-06-15
1730703562 Michael Williamson Family Medicine 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 2020-06-08
1295363620 Saint Medical Group, LLC Family Medicine 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 2020-03-31
1881220580 Sarah Laing Family Medicine 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 2020-03-14
1881225290 Neans Lynn Denson Family Medicine 2815 Sw 119th St, Oklahoma City, OK 73170-2605 2020-02-04
1114563699 Aim Health Clinics, LLC Family Medicine 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 2019-11-20
1841843265 Stephanie N White Family Medicine 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 2019-07-24
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Competitor

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City OKLAHOMA CITY
Zip Code 73104

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Dataset Information

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.

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