MERCY HOSPITAL ARDMORE, INC (NPI# 1578906657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578906657 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL ARDMORE, INC |
| Practice Address |
1101 14th Ave Nw Ardmore OK 73401-1830 |
| Practice Telephone | 5802235400 |
| Practice Fax Number | 5802206438 |
| Mailing Telephone | 5802235400 |
| Mailing Fax Number | 5802206438 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-10-16 |
| Authorized Official Name | TRACY ENLOE (CFO) |
| Authorized Official Telephone | 4057523161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104246982 | Mercy Hospital Ardmore, Inc | Psychiatric Unit | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2014-04-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL ARDMORE, INC. | 1011 14th Ave Nw, Ardmore, OK 73401-1828 |
| Street Address |
1101 14TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902353444 | Hh Physician Care-elkton Tennessee | Internal Medicine | 1446 Bryson Road, Ardmore, TN 38449 | 2016-09-01 |
| 1609946151 | Proddutur Vittal Reddy | Internal Medicine | 925 Nw 15th Ave, Ardmore, OK 73401-1809 | 2006-11-09 |
| 1881665867 | Jon Douglas Turner | Internal Medicine | 1446 Bryson Rd, Ardmore, TN 38449 | 2006-01-30 |
| 1972699627 | Ruben L Sunga Jr. | Internal Medicine | 731 12th Ave Nw, Ste 301, Ardmore, OK 73401-5761 | 2006-10-04 |
| 1134214471 | Nedley Clinic PC | Internal Medicine | 1045 15th Ave Nw, Ardmore, OK 73401-1810 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790148 | Epic Heart Health | Internal Medicine | 1211 N Shartel Ave Ste 1005, Oklahoma City, OK 73103-2433 | 2020-08-11 |
| 1801355813 | Tulsa Cardiovascular Center of Excellence, L.l.c | Internal Medicine | 11912 S Norwood Ave Ste 105, Tulsa, OK 74137-5509 | 2019-03-19 |
| 1316469109 | Razan Ali Mohamed Elsayed | Internal Medicine | 800 Stanton L Young Blvd # 5481, Oklahoma City, OK 73104-5018 | 2017-07-12 |
| 1184043556 | Heart & Vascular Specialist of Oklahoma Pllc | Internal Medicine | 15601 Kestral Park Ct, Edmond, OK 73013-9505 | 2014-04-14 |
| 1316283724 | Jean Ann Pitts | Internal Medicine | 11177 Ns 367 Rd, Okemah, OK 74859-4437 | 2012-12-13 |
| 1356621353 | Taraka Vijaya Rama Raju Gadiraju | Internal Medicine | 6151 S Yale Ave Ste 1-304, Tulsa, OK 74136-1907 | 2011-08-22 |
| 1760776694 | Biyebelemo A Ekpete | Internal Medicine | 2115 Duncan Regional Loop Ste 200, Duncan, OK 73533-1577 | 2011-06-08 |
| 1174750749 | Matthew Joseph Comstock | Internal Medicine | 11912 S Norwood Ave Ste 110, Tulsa, OK 74137-5509 | 2009-06-22 |
| 1841441151 | Mohamad A. Mahayni, M.d., Inc. | Internal Medicine | 3502 W Okmulgee St, Muskogee, OK 74401-5073 | 2008-10-06 |
| 1225201718 | Christian Cardiovascular Institute PC | Internal Medicine | 3300 Nw 56th Street, Suite 200, Oklahoma City, OK 73112-4401 | 2008-04-07 |
| Find all providers with the same taxonomy | ||||
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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.