ADVANCE PHYSICIANS GROUP (NPI# 1730599507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730599507 |
Entity Type | Organization |
Organization Name | ADVANCE PHYSICIANS GROUP |
Other Organization Name | FIRST MED URGENT CARE |
Practice Address |
1221 N Kelly Ave Edmond OK 73003-4865 |
Practice Telephone | 4058441633 |
Practice Fax Number | 4052854060 |
Mailing Telephone | 4052858799 |
Mailing Fax Number | 4054716401 |
Enumeration Date | 2014-05-02 |
Last Update Date | 2014-05-02 |
Authorized Official Name | MR. TODD LECHTENBERGER (CHIEF EXECUTIVE OFFICE) |
Authorized Official Telephone | 4052858799 |
Is Organization Subpart | Y |
Parent Organization Name | ADVANCE PHYSICIANS GROUP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
First Med Urgent Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598175366 | Advance Physicians Group | Clinic/Center | 13420 N Penn Ave, Oklahoma City, OK 73120-9007 | 2014-05-02 |
1790195568 | Advance Physicians Group | Clinic/Center | 4510 Nw 39th St, Oklahoma City, OK 73122-2503 | 2014-05-02 |
1477963189 | Advance Physicians Group | Clinic/Center | 1140 Sw 104th St, Oklahoma City, OK 73139-2992 | 2014-05-02 |
1760892533 | Advance Physicians Group | Clinic/Center | 7807 S Walker Ave, Oklahoma City, OK 73139-9470 | 2014-05-02 |
1750395448 | Advance Physicians Group | General Practice | 1705 Renaissance Blvd, Suite 100, Edmond, OK 73013-3041 | 2006-07-28 |
Street Address |
1221 N KELLY AVE |
City | EDMOND |
State | OK |
Zip Code | 73003-4865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588003164 | First Med Clnic N Kelly LLC | Family Medicine | 1221 N Kelly Ave, Edmond, OK 73003-4865 | 2013-06-18 |
1851741052 | Melinda Natasha Kruger Kruger | Registered Nurse | 1221 N Kelly Ave, Edmond, OK 73003-4865 | 2016-06-17 |
1235550658 | Lavetrice Steele | Physician Assistant | 1221 N Kelly Ave, Edmond, OK 73003-4865 | 2014-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
Find all providers in zip 73003 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205490984 | Thehealthworxllc | Clinic/Center | 1425 S Santa Fe Ave Ste G, Edmond, OK 73003-5910 | 2019-04-27 |
1457821548 | James Mcginn LLC | Clinic/Center | 849 E 33rd St Ste 201b, Edmond, OK 73013-5407 | 2018-11-30 |
1235612235 | Balance Medical, Inc. | Clinic/Center | 1019 Waterwood Pkwy Ste E-14, Edmond, OK 73034-5332 | 2018-09-14 |
1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
1699012435 | Optima Weight & Wellness, LLC | Clinic/Center | 1489 E 15th St, Suite 108, Edmond, OK 73013-5054 | 2013-01-14 |
1396909446 | Bryant Street Family Medicine, P.C. | Clinic/Center | 305 South Bryant Ave, 110, Edmond, OK 73034 | 2008-07-17 |
1194741249 | Geoffrey W Hoover Md Pllc | Clinic/Center | 122 N Bryant Ave Ste 1, Edmond, OK 73034-6349 | 2006-07-14 |
1699391797 | Pollard Family Health and Wellness, LLC | Clinic/Center | 1404 Nw 186th St, Edmond, OK 73012-6202 | 2020-06-24 |
1922552348 | Careatc - City of Edmond | Clinic/Center | 28 E Main St, Suite 100, Edmond, OK 73034-4502 | 2016-08-15 |
1063525954 | Canyon Park Medical Group, Pllc | Clinic/Center | 1501 E 19th St, Edmond, OK 73013-6618 | 2006-08-16 |
Find all providers in EDMOND |
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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.