SUMMIT MEDICAL CENTER PHYSICIANS ONE, LLC (NPI# 1669874228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669874228 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL CENTER PHYSICIANS ONE, LLC |
| Practice Address |
7221 W Hefner Rd Oklahoma City OK 73162-4505 |
| Practice Telephone | 4054706900 |
| Practice Fax Number | 4054706901 |
| Mailing Telephone | 4054706900 |
| Mailing Fax Number | 4054706901 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2018-03-16 |
| Authorized Official Name | DEBRA L RHODES (CLINIC MANAGER) |
| Authorized Official Telephone | 4054706900 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT MEDICAL CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
102310 | OK | Ambulatory Health Care Facilities |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
7221 W HEFNER RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73162-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861434623 | Pamela Chadwell | Family Medicine | 7221 W Hefner Rd, Oklahoma City, OK 73162-4505 | 2006-06-12 |
| 1386147692 | Saints Medical Group, LLC | Family Medicine | 7221 W Hefner Rd, Oklahoma City, OK 73162-4505 | 2018-03-13 |
| 1306205026 | Nazala Healthcare Inc PC | General Practice | 7221 W Hefner Rd, Oklahoma City, OK 73162-4505 | 2016-02-23 |
| 1770985335 | Summit Medical Center Physicians Two, LLC | Family Medicine | 7221 W Hefner Rd, Oklahoma City, OK 73162-4505 | 2014-09-25 |
| 1811006455 | Deaconess Family Care West Hefner | Physician Assistant | 7221 W Hefner Rd, Oklahoma City, OK 73162-4505 | 2006-08-29 |
| 1992739056 | Janie L. Howard | Physician Assistant | 7221 W Hefner Rd, Oklahoma City, OK 73162-4505 | 2006-07-11 |
| 1144252909 | Waddah N. Nassar | Family Medicine | 7221 W Hefner Rd, Oklahoma City, OK 73162-4505 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493319 | Anthony Haislip | Peer Specialist | 6904 Briar Creek Dr., Oklahoma City, OK 73162 | 2018-10-16 |
| 1760973705 | Lars Pederson | Peer Specialist | 7308 Nw 114th St, Oklahoma City, OK 73162 | 2018-05-25 |
| 1770026841 | Cory Chambers | Dentist | 12321 N. Council Rd, Oklahoma City, OK 73162 | 2016-11-22 |
| 1487109062 | K. Williams | Case Manager/Care Coordinator | 10400 North Council Road, Oklahoma City, OK 73162 | 2016-08-24 |
| 1932537669 | Al Dowell | Case Manager/Care Coordinator | 8849 Nw 121st St., Oklahoma City, OK 73162 | 2013-10-15 |
| 1508106378 | Wilvia Wong-plum | Counselor | 7309 N.w. 107th St., Oklahoma City, OK 73162 | 2013-02-15 |
| 1386912301 | Delores Parker | Counselor | 11916 Silvermoon Drive, Oklahoma City, OK 73162 | 2011-12-05 |
| 1518241744 | Victor Njoh | Pharmacist | 7101 West Hefner Rd, Oklahoma City, OK 73162 | 2011-10-06 |
| 1841500113 | Kimmi Jo Stanley | Speech-Language Pathologist | 9400 St. Ann's Home, Oklahoma City, OK 73162 | 2010-10-20 |
| 1548493091 | Glen Knight Wallace | Counselor | 7932 Nicholson, Okalhoma City, OK 73162 | 2009-09-01 |
| Find all providers in zip 73162 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1083222038 | Miloni Mukesh Parmar | Internal Medicine | 800 Stanton L Young Blvd Aat 6300, Oklahoma City, OK 73104-5018 | 2020-07-16 |
| 1376181479 | Meraki Wellness Group, LLC | Internal Medicine | 1211 N Shartel Ave Ste 802, Oklahoma City, OK 73103-2425 | 2019-12-19 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1407349442 | Sarah Monther Nimri | Internal Medicine | 1200 Childrens Ave Ste 14046, Oklahoma City, OK 73104-4637 | 2018-06-13 |
| 1003343229 | Jesintha Stephenson | Internal Medicine | 800 Stanton L Young Blvd # 6300, Oklahoma City, OK 73104-5018 | 2017-05-18 |
| 1982149100 | Mary K Mercer | Internal Medicine | 5700 N Portland Ave Ste 102, Oklahoma City, OK 73112-1662 | 2016-12-24 |
| 1285087536 | Isma Nusrat Javed | Internal Medicine | 900 N Stonewall Ave Apt 86, C-20, Oklahoma City, OK 73117-2851 | 2016-07-21 |
| 1740632181 | Samid Muhammad Farooqui | Internal Medicine | 101 Ne 53rd St Apt 1917, Oklahoma City, OK 73105-1847 | 2016-07-11 |
| 1285082891 | Syeda Dania Shujaat | Internal Medicine | 920 Stanton L Young Blvd # Wp2040, Oklahoma City, OK 73104-5036 | 2016-05-25 |
| 1912352162 | Talal Zahoor | Internal Medicine | 505 E Sheridan Ave Apt 2141, Oklahoma City, OK 73104-6718 | 2016-04-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73162 |
Please comment or provide details below to improve the information on SUMMIT MEDICAL CENTER PHYSICIANS ONE, 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.